Summer CHD
Craig Highland Dancers summer class registration 2019. Please fill out separate forms for each dancer.
Dancer Name (First & Last) *
Your answer
Parent/Guardian Name (First & Last) *
Your answer
Email address *
Your answer
Address
Your answer
Dancer's Date of Birth *
MM
/
DD
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YYYY
Phone Number
Your answer
Classes *
Does your dancer have any allergies or medical concerns we should be aware of? *
If yes to above, please explain.
Your answer
Waiver *
I hereby release Craig Highland Dancers and all instructors or independent contractors, from all liability due to injuries, etc. that may obtain as a result of my (child’s) attendance or participation in any and all dance classes by Craig Highland Dancers. I knowingly and freely assume all such risks, known, and unknown. I understand that participation in classes will involve dance and intense exercise along with movement with rigorous activity. It is understood that during classes it may be necessary for the instructor to hold or adjust the student to help with balance or positioning, or to demonstrate a movement. I am fully aware of my (child’s) personal medical condition and hereby certify that I (my child) are mentally and physically fit to participate in the classes that I have registered for. I understand that I am responsible for medical coverage or personal means to cover any expenses related to any injury that might result due to participation in any classes. I hereby give permission to Craig Highland Dancers to take and use photographs for promotional uses for the studio. I understand that payment is not refundable.
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