Future Bruin Dance Classes 2025-2026 Registration
Where: Bear River Dance Room G9
Contact us at bearriverdance@gmail.com
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Email *
What class(es) will you attend? *
Required
Students First and Last Name *
Students Grade for the 2025-2026 School Year *
Parent Name *
Parents Phone Number (include area code) *
Emergency Contact and Phone Number *
Please list any physical/health/special needs that might impact participation in dance classes: *
WAIVER OF LIABILITY

 I hereby voluntarily release, discharge, waive and relinquish any and all actions or causes of action for personal injury, property damage or wrongful death that I, my heirs, executors or assigns may have against Nevada Joint Union High School District (NJUHSD), their officers, agents and employees, arising out of my participation in the Dance Program, wherever or however it may occur. Under no circumstances will I, or my heirs, executors, administrators or assigns, present any claim or bring any suit for personal injury, property damage or wrongful death against NJUHSD, their officers, agents or employees, for any such injury, property damage or wrongful death, regardless of whether it arises from negligence. IT IS MY INTENTION BY SIGNING THIS DOCUMENT TO EXEMPT AND RELIEVE NJUHSD, THEIR OFFICERS, AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE. I acknowledge that I have read this entire Waiver of Liability, that I am aware of the potential dangers of participating in the Dance Program, and that I am fully aware of the legal consequences of signing this
document, including releasing NJUHSD, their officers, agents and employees from all liability, promising not to sue any of the aforementioned people and entities, and assuming all risks of participating in the Dance
Program. I understand that this document is written to be as broad and inclusive as legally permitted by California law. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by its remaining terms.
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Required
PHOTO/VIDEO WAIVER   

The Bear River High School Dance program has a website (www.brhsdance.com), as well as social media accounts on Instagram: brhs.dance. The purpose of these Internet accounts is to post information to the public about events, auditions, and performances, as well as to sell tickets to our shows and publish information about post-secondary dance opportunities. This waiver is intended to give permission for the BR Dance program to publish photos and video clips that may include your (or your student’s) image and/or name. If you do not approve of a particular picture and/or video clip, you reserve the right to have it removed from the Internet. Please contact me at gbaldock@njuhsd.com if you have any questions or concerns.
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Signature (Type your full name) *
Today's Date *
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By completing this Registration form, you understand that you will be billed for classes. It is your responsibility to notify us if you would like to cancel your registration. Payment is due on or before the 1st class. You can pay by bringing in cash/check to class, or paying online at https://www.brhsdance.com/futurebruins and scrolling to the bottom of the page. Please indicate in the space below how you plan to pay for your classes: 
All classes are $10 per class and can be paid in a lump sum or weekly.

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A copy of your responses will be emailed to the address you provided.
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