EDC Summer Intensive Sign-Up
July 26-28th, Ages 3-18 (age groups broken down appropriately)
Email address *
Dancer's Name *
Dancer's Age as of July 26, 2019 *
Current EDC Dancer? *
Parent's Name *
Parent's Email *
Parent's Phone Number *
Mailing Address *
Medical Concerns/Allergies *
I understand that I am responsible for payment to complete registration. ($95 ages 3-8; $185 ages 9-18) *
How would you like to pay? *
By the completion of this form, I understand I waive and release, indemnify, hold harmless The Elevation Dance Company LLC and it's owners, teachers, and employees, directors, choreographers, from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities of every kind and nature, whether known or unknown, in law or equality, and I ever had or may have, arising from or in any way related to my participation in any of the classes, events, or activities conducted by, on the premises of, or for the benefit of The Elevation Dance Company LLC. By this waiver I assume any risk, and take full responsibility and waive any claims of personal injury or damage to personal property associated with The Elevation Dance Company LLC including, but not limited to using the facility and it's equipment in any manner, form, or fashion, and practicing or participating in classes, events, or other related activities on or off the premises. I have read, understand, and fully agree to the terms of this waiver and release. *
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