DanceCo Registration: Train themed dance class for young movers with special needs
This form represents your commitment to participate in the October 25th dance class for young movers with special needs from 5-6pm at the Schwan Center for Performing Arts in the Marshall Senior High School. The class is targeted for youth ages 5-20 years. Please do not drop your mover off, we will have support staff, but if individual accommodations are needed a guardian may need to help throughout the class.

Additionally, $5 cash/or check (to Prairie Dance Alliance) is due upon sign in at the event and the below liability waiver must be checked.
Email address *
Name (First Last) *
Phone number
Name of mover with special needs, age *
Description of accommodations needed (ie; wheelchair, reduced sensory input....etc) *
Any other thoughts or suggestions to help your mover be successful in this opportunity?
I am the parent or legal guardian of the Participant. I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing DanceCo, MAFAC, and Schwan Center for Performing Arts, and their associated employees/volunteers from all liability on my and the Participant’s behalf, (b) waiving my and the Participants’ right to sue the DanceCo, MAFAC, and Schwan Center for Performing Arts, and their associated employees/volunteers, (c) and assuming all risks of Participant’s participation in this Activity, including travel to and from the Activity (including air travel) or any events incidental to this Activity. I allow the Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of the Participant as described in this document. I agree to be bound by the terms of this document. *
Required
Thank you for registering! We can't wait to move with you! ...Do you have your tickets to "Expectation Station".
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