Summer Dance Registration
Summer Dance Sessions - Register TODAY!
Six-Week Sessions from June 21st to July 30th
Event Address: Radiance Dance Studio, Countryside Shopping Village Unit H2
Contact us at (345) 916-0146 or danceunlimitedcayman@gmail.com
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Email *
Summer Dance Schedule
Which session are you registering for? (Choose all that apply, indicate the dates) *
Required
Session Date (s) *
Full Name *
Phone Number *
Date of Birth *
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DD
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Physical Address *
Mailing Address *
Medical Information (In case of an emergency) *
MEDICAL INSURANCE CARRIER:/ ALLERGIES: / HEALTH ISSUES:/ MEDICATIONS:
Emergency Contact *
FULL NAME:/ RELATIONSHIP: / E-MAIL ADDRESS: / MOBILE #: 
Dance Experience *
I understand that I will have to pay the fees prior to the event or upon arrival at the session. (Cash or Check to be made payable to DANCE UNLIMITED). *
Required
Summer Dance Session Cost *
TERMS OF RESPONSIBILITY, AUTHORIZATION AND EMERGENCY CONSENT *
I, ________________________________________, know that participation in dance may result in injuries. I do hereby waive, absolve, indemnify, and agree to hold harmless Cayman Islands National Dance Company (CINDCO) & Radiance Dance Studio, instructors, participants and persons involved with such activities from any claim arising out of injury to myself whether the result of negligence or for any other cause. If medical attention is needed and if a Cayman Islands National Dance Company or a Radiance Dance Studio representative is unable to get in contact with my emergency contact; the procedure is to I am to be taken to the nearest hospital/clinic or call the emergency services.
Required
PHOTO RELEASE AGREEMENT *
I give full rights to Cayman Islands National Dance Company (CINDCO), its directors/instructors to use photos and video images of myself to use for promotional purposes of CINDCO. Photos and video will be used in brochures, websites, advertisements, and other promotional material created by Cayman Islands National Dance Company. Photos may appear with or without names in press releases and other print advertising. I have read, understand and agree to the above stated waiver of liability, medical and photos releases.
Required
ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO COVID-19 *
Despite our careful attention to sterilization, disinfection, and social distancing practices, there is still a chance that you or your child could potentially be exposed to an illness on Radiance Dance Studio’s facility. Although CINDCO/ Radiance Dance Studio, has taken extra precautionary measures to reduce the possibility for transmission of communicable diseases, there is still a possibility that exposure may occur. Please know that participation in classes, workshops, performances or activities hosted by CINDCO/Radiance Dance Studio are at your own risk. I/We agree to adhere to CINDCO/Radiance Dance Studio’s safety measures and guidelines to help stop the spread of communicable diseases, including Covid-19, also known as the “Coronavirus” I, for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin hereby release and hold harmless CINDCO/Radiance Dance Studio, it’s owners, employees, assistants, guest artists, and or students, with respect to any and all illness, disability, death, or loss of person or property. I have read, understand and agree to be bound by the above statement.
Required
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