Registration Form
Register here for 2018 Dance Elevated Camps. Ages 10-18 permitted and Levels Beginner - Advanced.

A $25 Registration Fee will be required.

Email address *
Name: *
Your answer
Address: *
Your answer
Phone Number: *
Your answer
Age: *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
How Did You Hear About Us?: *
Your answer
Camp Location: *
Overnight Camper or Day Camper: *
Ability Level: *
Shirt Size: *
Dance Elevated Waiver and Release Form:
I hereby release DANCE ELEVATED, LLC and all staff and officials from all claims for injury, damage or loss to my person and property during my participation suffered by registered dancer in connections with or by their association with Dance Elevated Events. This includes our heirs who may not act in our behalf. Any dancer participating in a dance camp takes certain inherent risks. Participation in this camp indicates the acceptance of such risks by dancers. Therefore, by checking this box, we will not hold DANCE ELEVATED, LLC or any of its officers, directors, officials, managers, staff or employees responsible for injuries, illnesses or damages sustained, while participating in any activity related to a DANCE ELEVATED Event. 

Contestants and teachers entering a Dance Elevated Event give their permission and consent to the directors of Dance Elevated to use their images, photographs, video appearance, television or any other electronic media for advertising, news coverage or any other commercial use of our events.

By checking the box below, this registered participant expressly adopts and agrees to be bound by the above waiver and release agreement. The checking of the box of this agreement is a condition of participation in Dance Elevated events. 

I have read and agree to the Waiver and Release Form. I also understand and agree that registration is NON-REFUNDABLE: *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms