June Intensive: June 3-27
Please Indicate what weeks you are interested in attending and fill out the form in full. We are looking forward to a wonderful June of dance! Please note you are not required to be a part of Design Dance Company to attend.
Email address *
Dancer Name *
Your answer
Parent Name *
Your answer
Dancer Birthday *
Phone Number
Your answer
Emergency Contact Number and Relation *
Your answer
I am signing up for
I would like to sign up for 1 single week
If you are signing up for a single week, please share the week(s)
Your answer
If you would like to leave any additional medical information, allergies, or other dancer details you feel we need to be aware of, please use the space below.
Your answer
I have read and agreed to the following statement: I/we realize that participation in dance classes and activities could involve some possible personal injury. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Design Dance Studio/Design Dance Company. I also authorize Design Dance Studio/Design Dance Company to use photos and videos of my child/myself/the minor child for whom I am a legal guardian for promotional purposes. If I am signing this in my capacity as the legal guardian of a minor child, I authorize Design Dance Studio to use photos and videos of the minor child for promotional purposes. *
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