2024 Albanian Dance, Language and Vocal Classes Registration Form

September - December 2024

Parent/Guardian’s First Name:

Parent/Guardian’s Last Name:

Home Address

Parent/Guardian’s Phone Number:

Parent/Guardian’s Email

Emergency Contact Name

Emergency Contact Phone Number:

Relationship to Student(s)

Children under the age of 18 must be picked up in the lobby of the school.

Tuition Payment for the Fall 2024 Semester for the Meso Shqip School for the first 2 children is $250 each and for each additional child: $200.

Each Shoqata/Organization has yearly membersip dues of $200 per family. The Membership Dues for 2024 has not changed from last year and the dues are $200.00 per family to be paid by February 2024.

(Dues are not payable if you have paid them in February of this calendar year).

In consideration is my signed release allowing my child to participate at the Meso Shqip School, I, intending to be legally bound, do hereby, waive, and forever discharge any and all rights and claims for damage which may occur to me against the Albanian Language & Dance Program (Ana e Malit Association Inc, Kraja Association Inc and Albanian American Association Ulqini) and all damages which may be sustained or suffered by my child in connection with participation at the Meso Shqip School. In the event of injury/accident/sickness, the Albanian Language, Dance and Vocal Program Coordinators, Language & Dance instructors and officials are to contact the designated adult listed above.

Do you give permission for your child or children to be photographed and videotaped and further give permission for such photographs and videotapes to be used in any Meso Shqip School Program activity and to be used in printed or broadcast media as deemed appropriate for promotion and publicity of the Meso Shqip School activities?

Select an option

Yes

Any Allergies / Medical Issue(s)

Signature