DANCE EVOLUTION 2020-21 REGISTRATION
Email address *
Student Last Name *
Student First Name *
Street Address, City, State, Zip *
Parent 1 Full Name *
Parent 1 Cell Phone # *
Parent 2 Full Name
Parent 2 Cell Phone #
Other Guardian (if applicable) Name, Phone#, Relationship to student
Student Date of Birth *
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DD
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Student's Age *
Name of Student's School/Grade
Food Allergies *
If "yes" please specify:
I GIVE PERMISSION FOR DANCE EVOLUTION TO USE MY CHILD’S PHOTOS AND VIDEOS ON ITS WEBSITE, INSTAGRAM, FACEBOOK, NEWSPAPER, TELEVISION OR ANY OTHER FORM OF ADVERTISING. *
PLEASE PROVIDE A CURRENT EMAIL THAT YOU CHECK FREQUENTLY, FOR UPDATES AND INFORMATION: *
BY PRINTING MY NAME AND SUBMITTING THIS FORM, I AGREE THAT ALL PARTIES THAT TAKE CLASSES OR ATTEND DANCE EVOLUTION ALONG WITH ANY DANCE EVOLUTION EVENTS ARE VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES AND USE OF SAID PARKING LOT, ACTIVITIES, AND FACILITIES. I/WE ASSUME ALL RISK OF INJURY, DAMAGE AND ILLNESS. I AGREE THAT I HAVE READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. (PLEASE PRINT YOUR NAME IN FULL AND CURRENT DATE) *
Please refer this link http://www.dance-evolution.com/covid-19-updates.html for the "2020-21 COVID Policies and Procedures" and check that you have read and agree to these policies. Anyone not in agreement with these policies may not enter the studio at this time. *
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