Elder Ensemble Registration Form
Dance & Bmore uses creative storytelling, movement, music, and theater to engage audiences of every age and stage of life. We welcome you to join us!

Please complete the registration form below for our Elder Ensemble.
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Your Name *
Your Email *
Your Age Range *
Your Zip Code *
Dance & Bmore is a multi-disciplinary ensemble of performers. What creative activities do you enjoy the most? (Check all that apply) *
What music, movement, or poetry style do you prefer? (optional)
COVID-19 Vaccinations
FYI all of our Dance & Bmore Staff are vaccinated for the safety of our team and community. All are welcome. Feel free to let us know your vaccination status:
Your COVID- 19 Vaccination Status *
Safety & Health Guidelines
All participants will be masked for in-person meetings. The Waxter Center requires temperature checks at the door.
By submitting this form, I acknowledge and agree to the following. I, the undersigned, understand and acknowledge that I may be engaging in physical activity and that the use of equipment and instruction could cause injury. I, the undersigned, acknowledge that I have voluntarily enrolled in this program and assume responsibility for all risks of injury resulting from my participation in activities of Dance and Bmore programs. I hold harmless Dance and Bmore and its instructors for any and all claims of liability caused by injury. Should emergency medical services become necessary for the undersigned participant, the expenses are the sole responsibility of the participant and not that of Dance and Bmore. *
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