Teddi 44 Dance Registration
The Teddi Dance for Love is a 24-hour Dance Marathon that raises funds for Camp Good Days and Special Times! 
Sign in to Google to save your progress. Learn more
Email *
I am age 18 or over and have a Fisher Network ID
*
I have a Fisher Network ID and I want to register to be a
*
First Name *
Last Name *
Email Address  *
Fisher ID *
Residency as Student *
Are you on a Teddi Committee?  *
Are you a Captain? *
Do you plan on raising $100 before the week of the dance to receive the Committee bag with meal vouchers, committee shirts, and the committee gift?
*
Emergency Contact (First and Last name) *
Emergency Contact Phone Number *
I do hereby release and discharge St. John Fisher University, the Teddi Dance for Love Committee, it’s organizational sponsors, and the agents and representatives of all of the foregoing, from any and all claims, causes of actions, suits, demands, and liabilities, including those involving negligence, resulting from personal injury to me caused by, or in any manner arising out of my participation in the TEDDI DANCE FOR LOVE to be held on February 6th to 7th, 2026 at St. John Fisher University. I understand that the TEDDI DANCE FOR LOVE may use any media coverage taken of me for future publicity purposes. I also understand that the TEDDI DANCE FOR LOVE involves vigorous exercise for long periods of time and that it is possible that I might suffer blister, muscle pain and strain, injury from fall, and/or exhaustion and that such exertion could aggravate pre-existing conditions or illness or even result in a seizure or heart attack. I represent by executing this release that I am in good physical condition and that I am physically able to safely undertake this activity, and that I will stop my participation if I feel at any time that it is unsafe for me to continue.
I release the TEDDI DANCE FOR LOVE to use any media coverage taken on me for future publicity.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of sjfc.edu.

Does this form look suspicious? Report