Six Degrees Summer Intensive Registration Form
June 25-27, 2021
Email *
Full Name *
Address *
Phone Number *
Age *
Parent/Guardian Name (if under 18)
Parent/Guardian phone number and email (if under 18)
How many years of dance training have you had and in what styles/techniques? *
What goals do you hope to accomplish by participating in this workshop? *
Liability Waiver and Release Policy
If under 18, your parent/guardian must sign as well
I am participating in Six Degrees Dance's training program and understand that dance training comes with a risk of injury. I also understand I cannot hold Six Degrees Dance or any member of its staff liable for any injuries that may occur as a direct result of participating in dance activities. *
Required
I hereby give my consent to Six Degrees Dance to use my name and any form of dance-related media acquired during my study (video, photography, etc.) for publication, advertising, marketing, promotional campaigns, etc. I understand that I will not be compensated by Six Degrees Dance or a third party should Six Degrees Dance decide to use these materials. *
Required
Cost of Intensive: $250. Paid via Venmo @sixdegreesdance *
Required
Early Bird Registration: $200 (on or before June 1, 2021)
Proof of Payment: please provide your Venmo name *
Submit
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