BHDA 2021-22 Registration
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Parent(s) Name: *
Mailing Address *
Cell phone number: *
Email is the primary way BHDA communicates with member families. Please provide an email address you will check regularly: *
Name of dancer #1: *
Age as of Sept 30, 2021 *
# of years in highland dancing: *
Competition Level (if applicable)
Name of dancer #2:
Age as of Sept 30, 2021
# of years in highland dancing:
Competition Level (if applicable)
Name of dancer #3:
Age as of Sept 30, 2021
# of years in highland dancing:
Competition Level (if applicable)
Waiver: I hereby give permission for the names and/or pictures of the dancer(s) listed above to be used by the BHDA in their newsletter, website, media and other publications.
Select one
Yes
No
Waiver: In consideration of accepting this registration, I hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against Battlefords Highland Dance Association, its agents, representatives, successors and assignees, for any and all injuries suffered by me at or through activities sponsored by Battlefords Highland Dance Association. *
Required
Yes
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