BLOOM | Pod-style classes for kids! Los Angeles

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Saturday Theatre Class
THEATRE!
GROWN-UP & ME
2's program!
Art, Dance, Creative Movement
CAMP: Summer, Winter, Spring!
Private Coaching
BUILD YOUR OWN POD
Party Craft Tables
CONTACT

Student

Student First Name*

Student Last Name*

Student Birthday*

Month

Day

Year

Student Grade*

Student School*

Allergies and/or Medical Conditions?*

Yes

No

Parent/Guardian #1

First Name*

Last Name*

Relationship*

Cell Number*

Email Address*

Parent/Guardian #2

First Name

Last Name

Relationship

Cell Number

Email Address

Emergency Contact

First Name*

Last Name*

Relationship*

Cell Number*

PLEASE LIST KNOWN ABSENCES HERE *It is very important I am aware ahead of time of any missed days or early dismissal (outside of illness/emergency). This allows us to prepare efficiently for rehearsals & make the best use of our time. Thank you!*

I acknowledge that I have reviewed and agree to all Bloom policies and procedures

I agree to the Media Waiver (optional) *see Bloom policies for details

Tuition

$1,150

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