Exceptional Expressions
Expressions in Rhythm Studio is proud to announce our all-inclusive dance class called Exceptional Expressions. We always encourage inclusion first- allowing anyone who has a desire to join our instructional program may do so. When children with physical and learning differences-physical, developmental, behavior/emotional or sensory impaired want to learn and grow together, we have our Adaptive Dance Program.

This is class begins on Saturday January 5 with the Junior Session (ages 8-12) from 10-10:50am and the Teen Session (ages 13-17) from 11:11:50am- every other Saturday.

Monthly tuition is only $25! Space is limited so sign up TODAY!

Today's Date *
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Child's Name *
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Date of Birth *
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Grade *
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Parent/Guardian's Name *
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Relationship to child *
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Best Contact Number (Please include the area code) *
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E-mail Address *
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Medical Concerns/Allergies/Disabilities/Other *
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Our goal is to assist our students in building self-confidence, dance technique, and motor skills in a fun, friendly environment. What would you like your child to get out of being a part of Exceptional Expressers? *
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Class Structure *
Do you agree for your child to explore Ballet, and Jazz technique in each class, as well as have time for movement games and free dance through simple choreography, no formation changes and no floorwork?
What accommodations are necessary for your child? *
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Personal Assistant *
Does your child require a personal assistant?
If your child requires a personal assistant, you agree to provide. *
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Assumption of Risk & Release of Liability- Please initial below *
I understand and acknowledge there is a risk of injury inherent in activities at the Studio and that personal injury and/or damage to property may result during participation in the Studio classes. I acknowledge that the Student is physically able to safely participate in the classes selected. I give permission for the Student to perform stunts, aerials, lifts or other activities, related to their respective class, at the Studio and in any and all performances. Account Holder agrees to assume all risk associated with the Student's participation in instruction, rehearsal, performance, and related activities. In consideration of receiving instruction at the Studio, I hereby waive, release and discharge the Studio, its officers, directors, employees, agents, successors, sponsors, legal representatives and assigns, from all present and future claims and liabilities of any kind, whether for bodily injury, property damage, or other loss of Student or Account Holder arising out of participation in Studio classes whether conducted on or off Studio premises.
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Method of payment. *
Please make all payments Monday-Friday 4:30-9pm at Expressions in Rhythm Studio
I agree to pay the the Exceptional Expressions within 48 hours of completing this form. *
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I have read and understand the Exceptional Expressions guidelines and agree to abide by said policies. *
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