MOTIVATE BY DANCE 1 HOUR FREE TRIAL
Come attend one of our practices.  See what it takes to be apart of the team.  You must be a new participant that has never used the free trial  or previously been on the team.
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Email *
BEST PHONE NUMBER (Please note all correspondence will be sent to the email and phone number you provide) *
Participant Name *
Participant Date Of Birth (must be 5 to 19 years of age) *
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Participant Age *
Please wear comfortable  clothing during training. Dress in layers if weather is cool. Code of Conduct is the same as if you were on school premises.  Participants with unruly behavior will be removed from training if deemed necessary by instructor. If you have questions, please contact Motivate By Dance Team. *
Required
In the event there is a cancellation. You will be notified by the phone number you provided in this registration.   *
Required
MOTIVATE BY DANCE, LLC ONLINE MEDIA/PHOTO/VIDEO/WAIVER FORM                                                                             I understand that the above participant may be included in pictures, videos, Facebook, Instagram or other communication forums generated by or to the public. I understand there is no compensation or royalties arising from or related to the use of their image. If you wish to opt out of future Motivate By Dance, LLC Media/Video/Photo, please send a letter to motivatebydance@gmail.com   Attention: Opt Out of  Media/Video/Photo Waiver Form. Please be aware that any public postings before the timestamp of the opt-out email will not be removed. *
Required
MOTIVATE BY DANCE, LLC ONLINE WAIVER FORM                                                         I agree that the above named participant is in good health and can physically withstand the  instruction by Motivate By Dance, LLC. I hold harmless Motivate By Dance LLC, Coaches, and Volunteers from any injury of any kind resulting by instruction and attending a Motivate By Dance event. I understand that the above participant can be removed from instruction or the event at anytime due to improper behavior or dress code.  This waiver has no expiration date. *
Required
Parent or Guardian Name: By typing your first and last name below, I am the legal parent or guardian. I agree to the Motivate By Dance, LLC Waiver Form and the Motivate By Dance, LLC Media/Video/Photo Waiver Form in its entirety.   *
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