Got to Move! 2019- REGISTRATION FORM for Inter-generational Grooves Dance Workshop!
This is an intergenerational dance workshop where seniors/youths, parents and children can come together different dance moves from across the decades. It will be a fun filled workshop where we will enjoy the grooves from different decades.
No dance experience required-
Suitable for your family and friends aged 7 to 70 years old!
Come boogie with us!
A. 10am-11.30am at Radin Mas Community Center-Dance Studio Level 1 (FULL)
B. 2-3.30pm at Gateway Theatre, Studio 1 Level 4!
Participant's Full Name (As of NRIC/Passport)
Contact/Mobile Number (Hp)
Dance experience (Prior)
Yes, I have prior dance background!
Yes, I have been to a dance class!
No, But I have been to a dance class before!
No, This is my first time!
Please select the workshop below: (5TH OCT 2019)
TIME: 2PM-3.30PM , VENUE: Gateway Theatre, Studio 1 Level 4
Are you affiliated with any of these organisations?
Yes, I am affiliated with Radin Mas/Bukit Merah CC
Yes, I am affiliated with Superhero Me
No, I am not affiliated with these organisations.
How did you know about this workshop?
Got to Move Website, Banners, Flyers, Facebook/Instagram
Creatives Inspirit Website, Facebook/Instagram
Word of mouth/ Friends/ Family
LIABILITY AND MEDIA RELEASE (Please Read Upon Registering) I am voluntarily participating in the Inter-generational Grooves Dance Workshop by Creatives Inspirit. I recognise the programme requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.I understand it is my responsibility to consult with a physician prior to and regarding my participation in the above-mentioned programme. I verify and affirm that I have no medical condition that would prevent my participation in this programme.I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in this programme. I knowingly, voluntarily, and expressly waive any claim that may be made against Creatives Inspirit, the staff of Creatives Inspirit, and the volunteers and facilitators of the Inter-generational Grooves Dance Workshop, for any injury or damages that I may sustain as a result of participating in this programme.I, my heirs or representatives, forever release waive, discharge and covenant not to sue Creatives Inspirit, the staff of Creatives Inspirit, and the volunteers and facilitators of the Inter-generational Grooves Dance Workshop, for any injury or death caused by their negligence or other acts.I grant my full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event for educational, informational, commercial and/or promotional uses.
Yes, I have read the terms and conditions and voluntarily agree to the terms and conditions stated above.
Yes, I have read the above waiver and release of liability and fully understand its content.
A copy of your responses will be emailed to the address you provided.
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