DANCE ON THE SQUARE Fall 2021 Registration
Dance on the Square Fall classes begin on Tuesday, September 7th and will run through Saturday, November
13th. Parent Observations will take place during the final class of the session - more details to come based on Covid-19 social distancing protocols.

DOTS Class Details:
- Dancers will arrive at either the front or side entrance, depending on where their class is located.
- Dancers will have their temperature checked at the door. Any dancer with a temperature over 100.4 will need to
return home.
- Parents say goodbye at the door and pick your dancer up at the door when class is over. No parents will be
permitted in the building during class time to reduce the number of bodies indoors.
- Please make sure your dancer's belongings are labeled clearly.
- Should the studio need or be required to close, classes will continue at their scheduled time through a virtual
platform.
- If your dancer is feeling under the weather or exhibiting any symptoms we ask that they please remain home for
the week.


Classes will be held at Church on the Square - 1025 S. Potomac Street Baltimore, MD 21224 Due to the size of our program, no refunds can be issued after the first week of class. Thank you.
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First Name of Dancer *
Last Name of Dancer *
Parent/Guardian Name *
Email *
Phone *
Home Address *
Dancer's Date of Birth *
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/
DD
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YYYY
Emergency Contact Name *
Emergency Contact Number *
Any Known Allergies/Medical Conditions *
Fall 2021 - 10 Week Session
Select each class you would like to register for. Upon completion of your registration form you will be emailed an invoice link within 24hrs to submit your registration payment. Please note your spot in the class in not confirmed until payment has been received.
Class Selection(s) *
Required
Dance on the Square and the instructors will not be held liable for any injury sustained while on the premises of Church on the Square at any time, or in a performance representing Dance on the Square. *
Covid-19 Waiver: Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Dance on the Square (DOTS) has put in place preventative measures to reduce the spread of COVID-19; however, DOTS cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending DOTS could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending DOTS and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 at DOTS may result from the actions, omissions, or negligence of myself and others, including, but not limited to, DOTS employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at DOTS or participation in DOTS classes. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless DOTS, its employees, agents, and representatives, of and from the claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of DOTS, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any DOTS program, class or event. *
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