Trial Form-New Student Season #13
Complete this form and we will contact you to register for a FREE TRIAL class for season 13!
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Email *
Parent First and Last Name *
Students First and Last Name *
Age *
Students Date of Birth *
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Telephone *
Gender *
Address, City and Zip Code *
Does your child receive services through CVRC? *
Is your child a part of the following charter schools? Heartland Charter School, Yosemite Valley Charter School, or Monarch River Academy *
Has student danced before? *
If yes, where?
How did you hear about us? *
What style of dance is student interested in? *
I understand and agree that in participating in any dance class, workshop, rehearsal, or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of Elite Dance Academy classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Elite Dance Academy, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes for action whatsoever out of or in connection with participation in any classes or activities conducted by Elite Dance Academy. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Elite Dance Academy, its owners, agents, volunteers, assistants, employees, guest artists, faculty members and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights. Permission is granted to Elite Dance Academy to use photographs of students for publicity purposes. *
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