YATC NYC TERM & WORKSHOP APPLICATION
Registration Process:
REGISTRATION FORM Please complete the form below, or call us at 212-330-7642 to register.
Name:
Date of Birth:
Age:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Parents/Guardians Names:(first and last)
School:
Email Address:
Desired Class:
Select...
Private Lessons - 1 Session/$80, 5 Sessions/$380, 10 Sessions/$720
Workshop Series - 1-3 Workshops ($50)
Desired Class 2:
Select...
Private Lessons - 1 Session/$80, 5 Sessions/$380, 10 Sessions/$720
Workshop Series - 1-3 Workshops ($50)
Desired Class 3:
Select...
Private Lessons - 1 Session/$80, 5 Sessions/$380, 10 Sessions/$720
Workshop Series - 1-3 Workshops ($50)
Alternate Choice:(Required)
Should a selected class be unavailable, please enroll me in:
Select...
Workshop Series - 1-3 Workshops ($50)
None
First time in YATC?
How did you hear about us?
Select...
Friend
Flier From School
Web Site
Mailer
Publication (specify to right)
Other (specify to right)
The above form must be completed and submitted on (or before) the 1st day of class. No child will be permitted into a class without release form accounted for.
I have read, agreed to, and printed out the Activity / Enrollment / Liability / Medical Treatment / Photo Release Form
I have read and agree to the Policies and Procedures for YATC .
Once you have submitted the registration form, registration fees can be paid online securely via PayPal below. NOTE: If paying for multiple classes, simply update your PayPal shopping cart by clicking the different "Add to Cart"butons that correspond with the classes you want. You will have to go back and forth between this page and your PayPal page to do this.
