1 North Main St. Manheim PA 17545 - 717-664-4018 - Fax: 717-665-4846 - info@cricketsperformingarts.com
 
 
 
 
 
 
  Discount Dance Supply
 

Please submit the registration form below, filling in all applicable information. 

If you would like to mail in your registration, click here and send the completed form to Cricket's Performing Arts, 1 North Main St. Manheim PA 17545.

Student Name
Age
Date of Birth
Address
City
State
Zip Code
Phone Number
Email
Person Responsible for Payment
Address and phone if different from above:

CLASSES

Crickets reserves the right to combine or cancel camps dues to insufficient enrollment.

HOW DID YOU HEAR ABOUT US?

COMMENTS/QUESTIONS

By submitting this form, I state that I have read all of the policy statements in their entirety, and determine that I understand, agree with and completely support all policies, rules and regulations of Cricket’s Performing Arts, and state that I am solely responsible for all payments due. I also agree to indemnify, and hold Cricket’s, it’s owners, employees, agents, and representatives free from any and all claims, damage or liability arising out of or resulting from the use and occupancy of the premises and including any event, authorized or sponsored by, Cricket’s School For The Performing Arts, it’s owners, employees, agents, or representatives.

We give permission to Cricket's Performing Arts to use any photographs - video- film- audio or any recording device and likeness for any and all purposes.

BEFORE CLICKING THE SUBMIT BUTTON, PLEASE PRINT THIS PAGE FOR YOUR RECORDS.

If you do not receive notification from Cricket's of your enrollment within 24 hours, please contact us.