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DMF Youth Middle School Afterschool Application
REGISTRATION CLOSED!  EMAIL INFO@DMFYOUTH.ORG TO BE PUT ON WAITING LIST!

WHEN: October 6th-December 22nd--Tuesdays and Thursdays 3:30-5pm
WHERE: Your house!
COST: FREE!

DMF stands for DANCE, MOTIVATION, FITNESS, and our afterschool program inspires youth to dream big, discover new skills and develop confidence and self-esteem through dance, fitness, and arts education. Twice a week, students will dance it out to their favorite artists, learning many styles from hip-hop and jazz to salsa and swing.   DMF Youth teaches students valuable life skills through team building activities, theatre games, arts and crafts, and “power” discussions designed to help them tap into their ultimate potential.   Even though programs will remain virtual this fall, we are SO excited to dance, learn and create with our students and empower them to live healthy, happy, and successful lives.  Students will receive a customized  afterschool kit with all the materials needed to participate!

Email info@dmfyouth.org or visit www.dmfyouth.org for more info.  
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Student Name *
Street address and Apt. number *
City, State, Zip Code *
Student Age *
Student Grade *
Student School *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Secondary Phone Number *
I hereby authorize my child’s/children's participation in all DMF Youth, Inc. class activities. I recognize that the classes may require strenuous physical activity and I attest that my child is physically fit for such activity. I, as the parent, assume all the risks normal to these activities and absolve DMF Youth, Inc. of all present and future liability in the event of accident or injury.  (sign name and write date below) *
 I grant DMF Youth, Inc. the right to use any photograph, likeness, or image of my minor child, and/or me and my family in whole or in part, in any media, including the Internet, for promotional or other purposes provided that my minor child(ren)’s last name(s) and/or my last name and my family’s last names shall not be used to identify my minor child(ren)’s, and/or me and my family in any such photograph, likeness or image in whole or in part. I release DMF Youth, Inc. from any liability in connection with such use. I acknowledge that I have read this Consent and Release Agreement and that it shall benefit and be binding on me, my successors, heirs and assigns.   *
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