Tiny Ballerina's May Session
6 Week Class for ages 2-5
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Email *
Dancers Full Name *
Parents Name *
Phone Number *
Dancers Birthdate *
Release Of Responsibility.     I the parent/guardian assume the responsibility should anything happen to my dancer during his or her participation with Dance Plus EP. I hereby release Dance Plus EP with respect to damage or injury that may occur by virtue of such participation. *
Media Release.      I, the parent/guardian understand Dance Plus EP will post photos on their Social Media Sites. Permission will be asked at the time if any photos should be used and/or reproduced of your child for use in promotional material such as advertisements, brochures, pamphlets and/or publications. Please note that no names will ever be used or posted. *
To Secure your spot please send $65.00 etransfer to danceplusep@gmail.com *
A copy of your responses will be emailed to the address you provided.
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