Welcome to the SRVDA family. We are delighted to have you!
Please complete and submit the form below to get started. After completion, a SRVDA representative will be in contact with you shortly.
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Email *
(PARENT/GUARDIAN/ADULT) First & Last Name(s) *
(PARENT/GUARDIAN/ADULT) Email(s) *
(PARENT/GUARDIAN/ADULT) Contact Number(s) *
(PARENT/GUARDIAN/ADULT) Mailing Address
How Did You Hear About Us? *
Required
(PARTICIPANT) First Name(s), Last Name(s), DOB *
Classes we are interested in taking or learning more about: *
Waiver and Release, the undersigned or parent/legal guardian of the individual named above, do hereby waive, release, and forever discharge all claims against San Ramon Valley Dance Academy, LLC (SRVDA) for damages, death, personal injury and property damage which may result from attending and participating in classes at SRVDA. I understand that accidents can occur in dance and gymnastics activities. Knowing the risks of these activities, I do hereby agree to assume all risks or damages resulting from such activities. By signing this waiver of liability, I release and hold harmless SRVDA and SRVDA’s owners, instructors, and/or employees from liability. I give SRVDA my permission to use photos of the above student for advertising purposes. By enrolling in classes, I agree to abide by and adhere to all policies as set forth by SRVDA.
I have read and understand this waiver and release. *
THANK YOU FOR YOUR INTEREST IN SRVDA!
Questions or Comments? Please Email Us At info@srvda.com.
A copy of your responses will be emailed to the address you provided.
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