RBUSD REG

Welcome to the Registration Page for
MNM Dance at Birney

Simply follow the 2 steps below and your child will be ready for class!
No need to bring a Registration Form or payment to the school.
Questions? We're here for you! Contact Melinda at (310) 293-5314.

Name of Child *

First

Last

Name of Child #2 (Sibling) - if applicable *

First

Last

Name of Parent/Guardian *

First

Last

Name of Parent/Guardian #2 - if applicable *

First

Last

I have enrolled my child in a dance program consisting of physical activity. I understand the inherent risks including injury that may result from my child's participation in this activity. I assume the risk and I hereby affirm that my child is in good physical condition and does not suffer from any disability that would prevent him or her from participation in this dance program. I hereby agree that I, for myself, my children adopted or otherwise, my heirs or executors, waive and release any and all rights and claim for damage in connection with my child's activities sponsored by Music ‘N Motion, Inc. *

By checking this box, I hereby affirm that I have read and fully understand the aforementioned. I agree to the terms of this electronic waiver.

Girl or Boy? *

Girl Boy

Grade *

Girl or Boy? (Child #2) *

Girl Boy

Grade (Child #2) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Referred by someone? If so, please include their name here: *

Do you grant Music 'N Motion permission to use your child's performance photo(s) for promotional purposes? Your child's name will not be used. *

Yes No

Select One: *

After class, please escort my child back to the CDC. After class, please escort my child back to Rec. I will pick my child up immediately after class in the Cafeteria. My child has my permission to walk home after class.

Any special instructions? *

Step 2: PAYMENT

Mark Your Calendar!

Once you've submitted payment here, you're all set to go!

Friendly reminder that registration and payment must be received
no later than Wednesday, September 4th at noon. Thank you!

MNM Dance
Grades 1-5
WEDNESDAYS / 1:45 - 2:45pm
September 11, 2019 - November 20, 2019
OFF: October 9th
Class Location: Outdoors! CDC students will be picked up at the CDC.
All other students meet at the lunch benches.
PERFORMANCE will be held during class time on 11/20 in the Cafeteria
10 Week Term

DOWNLOAD REGISTRATION FORM

Welcome to the Registration Page for
MNM Dance at Birney

Step 1: REGISTRATION

Waiver/Release of Liability

Please click SUBMIT before proceeding to Step 2!
We cannot accept any child for class who has not properly
submitted a Registration Form here. Thank you!

Step 2: PAYMENT

Mark Your Calendar!

Contact Us

Welcome to the Registration Page for MNM Dance at Birney

Step 1: REGISTRATION

Waiver/Release of Liability

Please click SUBMIT before proceeding to Step 2!We cannot accept any child for class who has not properly​submitted a Registration Form here. Thank you!

Step 2: PAYMENT

Mark Your Calendar!

Contact Us

Welcome to the Registration Page for
MNM Dance at Birney

Please click SUBMIT before proceeding to Step 2!
We cannot accept any child for class who has not properly
submitted a Registration Form here. Thank you!