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2020 Fall Program Youth Registration Form

Student Information and Waiver

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Please choose one or more programs from the list below you would like to sign up for.

YOUTH CLASSES
Price for the 7 class session is $112.

CREATIVE DANCE, age 3.5-5, with Fiona Scruggs, Monday, 3-3:45 PM, Oct.12-Nov.23INTRO TO DANCE, age 5-7, with Fiona Scurggs, Monday, 4:15-5:15 PM, Oct.12-Nov.23DANCE FOUNDATIONS, age 8-10, with Veronica Bone, Wednesday, 2-3 PM, Oct.7-Nov.18DANCE FOUNDATIONS, age 8-10, with Veronica Bone, Thursday, 3:45-4:45 PM, Oct.8-Nov.19MODERN 1, age 9-11, with Susan Quinn, Monday, 4:00-5:15 PM, Oct.5-Nov.16MODERN 2, age 11-13 with Veronica Bone, Wednesday, 4-5:15 PM, Oct.7-Nov.20MODERN 2, age 11-13 with Bettina Montano, Thursday, 4-5:15 PM, Oct.8-Nov.19MODERN 3, age 13+, with Moscelyne ParkeHarrison, Wednesday, 4-5:30 PM, Oct.7-Nov.18YOUNG CHOREOGRAPHERS WORKSHOP, age 14+, Open level, with Susan Quinn, Wednesday, 5:45-7 PM, Oct.7-Nov.18Bundle price $200 for MODERN 3 and YOUNG CHOREOGRAPHERS WORKSHOPBEGINNERS BALLET, age 8+, with Fiona Scruggs, Friday, 3:35-4:45 PM Oct.9-Nov.20BALLET 1, age 9-12, with Fiona Scruggs, Friday, 5-6 PM, Oct.9-Nov.20BALLET 1, age 9-12, with Fiona Scruggs, Saturday, 9:15-10:15 AM, Oct.10-Nov.21BALLET 2/PRE-POINTE, age 11+, with Micheline Weiler, Tuesday, 3:45-5 PM, Oct.6-Nov.17BALLET 2/PRE-POINTE, age 11+, with Micheline Weiler, Saturday, 9-10:30 AM, Oct.10-Nov.21BALLET 3-4, age 13+, with Isadora Wolfe, Tuesday, 5:30-7:30 PM, Oct.6-Nov.17BALLET 3-4, age 13+, with Isadora Wolfe, Friday, 3:45-5:15 PM, Oct.9-Nov.20BALLET 3-4, age 13+, with Isadora Wolfe, Saturday, 12-1:45 PM, Oct.10-Nov.21DANCE FOR BOYS, age 11+, with Tom Masters, Thursday, 4:00-5:15 PM, Oct.8-Nov.19WORLD MUSIC DRUMMING, age 8-12, Beginner +, with Rick Shrum, Tuesday, 3:45-4:30 PMDANCE OF AFRICA “SPIDER DANCE”, age 9-12, with Kim Waterman, Tuesday 4:45-5:45PM, Oct. 6, 13, 20, 27 Dress rehearsal: Saturday, Oct. 24, 4-6 PM Performances: 2:30PM and 4:30PM Friday Oct.30 and Saturday Oct.31, $80 for the sessionDANCE EXPRESSIONS 2 “FOREST SPIRITS”, age 12+, with Kristine Waterman, Tuesday 3:30-5:30PM October 6, 13, 20, 27 Dress rehearsal: Saturday, Oct. 24, 4-6 PM Performances: 2:30PM and 4:30PM Friday Oct.30 and Saturday Oct.31, $80 for the sessionJAZZ 2, for ages 11+, with Tom Masters, Monday, 4-5:30 PM, Oct.12-Nov.23BROADWAY JAZZ 3, age 13+, with Tom Masters and Ilana Ransom Toeplitz, Saturday, 2:30-4 PM, Oct.10-Nov.21TAP INTERMEDIATE, for ages 11-adult, with Tom Masters, Friday, 5:30-6:30 PM Oct.9-Nov.20TAP INTERMEDIATE/ADVANCED, for ages 13-adults, with Tom Masters, Saturday, 4:30-5:30 PM, Oct.10-Nov.21

COMMUNITY CLASSES FOR ADULTS AND TEENS

If you already own a class pass, you
can use it to pay for Community Classes, but we ask you to commit for the whole session
(7 classes) unless differently listed.

BALLET on Zoom, ages 11-adults, with Fiona Scruggs, Monday, 6:30-7:45PM (included in $50 4 class pass)BALLET in-studio, ages 11-adults, with Fiona Scruggs, Monday, 6:30-7:45PM, ongoing (included in $50 4 class pass)*BALLET on Zoom, ages 11-adults, with Fiona Scruggs, Saturday, 10:30 AM-12 PM (included in $50 4 class pass)BALLET in-studio, ages 11-adults, with Fiona Scruggs, Saturday, 10:30 AM-12 PM, ongoing (included in $50 4 class pass)*MODERN, ages 14-adults, Open level, Beginner +, with Bettina Montano, Tuesday, 9-10 AM, Oct.6-Nov.17 ($88 for the session)MODERN, ages 14-adults, Open level, Beginner +, with Bettina Montano, Friday, 6-7 PM, Oct.9-Nov.20 ($88 for the session)MODERN INTERMEDIATE/ADVANCED, ages 16-adults, with Bettina Montano, Monday, 6-7:30 PM, Oct.12-Nov.2 ($88 for the session)MODERN/JAZZ, Advanced Beginner/Intermediate level, ages 13-adults, with Bettina Montano, Thursday, 6-7:15 PM, Oct.8-Nov.19 ($88 for the session)Modern with Laura Coe, Open level, Ages 13+, Wednesday 4:15-5:30PM October 14-Nov 18 ($75 for the session or access with class pass)CONTEMPORARY, age 18+, Intermediate/Advanced, with Isadora Wolfe and Joe Poulson, Wednesday, 6-7:30 PM, Oct.7-Nov.18 ($88 for the session)TAP INTERMEDIATE, for ages 11-adult, with Tom Masters, Friday, 5:30-6:30PM Oct.9-Nov.20 ($112 for the session)TAP INTERMEDIATE/ADVANCED, for ages 12-adults, with Tom Masters, Saturday, 4:30-5:30 PM, Oct.10-Nov.21 ($112 for the session)YOGA with Erin Naylor, Saturday, 9-10 AM, Oct.10-Nov.21 (included in $50 4 class pass)*YOGA with Erin Naylor, Wednesday, 6-7 PM, Oct.7-Nov.19 (included in $50 4 class pass)*TAI CHI with Kathy and David Crowe, Mondays 6:30-8PM Contact greatchi@berkshiretaichi.com for information and registration.TAI CHI with Kathy and David Crowe, Fridays 9:30-11AM Contact greatchi@berkshiretaichi.com for information and registration.FLAMENCO, for ages 12-adult, Beginner +, with Joanne Bockemuehl-Jackson, Tuesday, 6-7 PM, Oct.6-Nov.17 ($88 for the session)

*Limited spots: please email/call to reserve your spot.
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Waiver

  • • I have read and been informed about the content and requirements in the Berkshire Pulse Policies and Information and agree to abide by these guidelines as a condition of my and/or my child’s enrollment at Berkshire Pulse.
  • I am aware that all recreational activities entail some risk of physical injury and illness and I certify that I have discussed any pertinent information concerning any medical history or any limitations my child may have with a representative of Berkshire Pulse, Inc. I hereby agree to assume all reasonable risk associated with participation in any programs held by Berkshire Pulse, Inc. and hereby release Berkshire Pulse, Inc. and any of their agents, employees, representatives, successors, or assigns from any damages, liability, actions, causes of injury, or property damage sustained by me, my family or guests, or by other members, guests, or employees if such an injury or property damage is caused in whole or in part by me, my family, or guests.

Choose one:I giveI do not give
Berkshire Pulse, Inc. permission to use photographs and/or videos in which I or my child
appear for any fundraising and/or marketing purposes that Berkshire Pulse, Inc. deems
appropriate.

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