Dance Plus Emerald Park Registration Form 2022-2023
Please fill out one form per dancer. Do not combine dancers on the same form.
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Email *
Dancer Name *
Birthdate *
Parent's Names *
Phone Number *
Home Address *
Classes registering for *
Release Of Responsibility.     I the parent/guardian assume the responsibility should anything happen to my dancer during his or her participation with Dance Plus EP. I hereby release Dance Plus EP with respect to damage or injury that may occur by virtue of such participation. *
Media Release.      I, the parent/guardian understand Dance Plus EP will post photos on their Social Media Sites. Permission will be asked at the time if any photos should be used and/or reproduced of your child for use in promotional material such as advertisements, brochures, pamphlets and/or publications. Please note that no names will ever be used or posted. *
A copy of your responses will be emailed to the address you provided.
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