REGISTRATION

I wish to register for the session listed below. Ten Students are required for this course to be offered.
Once the course begins there shall be no refunds. All information must be complete for registration to be valid. 
Thank you.                                                                       

Registering for:      Dance Session 1 (Hip-Hop)     Dance Session 2 ( Latino)

Name:         ID#:

Local Telephone Number:                 

Email Address:                          

You are a:        Student              Employee           Alumnus              Other 

You are a:        Male                   Female  

By submitting this registration to participate in the above activity at the CHSC, I do hereby
declare that I have decided to participate with  full knowledge that injury may be sustained
during participation.  I therefore hereby exonerate the AUB from any and all liability and
damage of whatsoever nature direct or indirect that may arise to or to my heirs as a result
of joining the Center and further undertake to keep the AUB harmless from any claims that
may be lodged against the University, its Board members, its Officers and its Staff by third
parties as a result of my participation.