Registration

Registration Form

* Indicates required field

Student's Name *

First

Last

Date of Birth *

Parent/Guardian Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact *

First

Last

Emergency Phone # *

Please register my child for the following class(es) *

Terms of payment

Please make checks payable to RCLA and mail them to 77 Burgess Avenue, Westwood MA 02090
- 1 check for the first term: September 3rd – January 31st must be received before September 1st.
- 1 check for the second term: January 31st – June 23rd must be received before January 15th.
- Nonrefundable registration fee is $20 per year, due in September.
- Recital costumes are required for each participating student in Music Theatre class. A nonrefundable fee for costumes is $30 per year, due in September.
- Nonrefundable supplies fee for the Russian Language Classes is $30 per year, due in September.
- Nonrefundable supplies fee for the Art Classes is $30 per year, due in September.

There will be no refunds, or credits for missed lessons.
RCLA is closed for Labor Day, Thanksgiving Holidays, Christmas Holidays, Memorial Day, and Westwood public school vacations.
All RCLA services must be prepaid
RCLA offers 10% discount for siblings
RCLA reserves the right to record and display any class and/or individual video and/or photographs

Please read and sign below
As the parents or legal guardians of the child named above, we hereby give permission for our child to participate in classes and programs at The Russian Center for Languages and Arts, LLC at its usual place of business at 1615 Beacon Street in Brookline, MA 02445, and any other locations provided by RCLA for its programs.
On behalf of our child and on our own behalf, we indemnify and hold harmless, and waive all claims against The Russian Center for Languages and Arts, LLC, its principals, agents, servants, and employees from and against any loss, cost, charge, claim, demand, liability, damage, medical expenses, arising directly or indirectly from any personal injury or property damage loss, which may occur to my child while on the premises of The Russian Center for Languages and Arts, LLC or any other location provided by The Russian Center for Languages and Arts, LLC and/or under instruction, supervision, or control of The Russian Center for Languages and Arts, LLC.
I have read, understood, and agreed to all of the stated terms

Parent's Signature (type your full name) *

Date *

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