St. Louis Summer Session Registration
In-person classes will meet at Central Studio:
5617 Pershing Avenue
St. Louis, MO 63112

This Summer Dance Session runs from Wednesday, June 23 - Thursday, July 29 2021.
Parent/Guardian Name: (if student is under 18)
Student Name: *
Student Age: (if student is under 18)
Mailing Address: *
Email: *
Phone: *
Choose your Summer Session class(es) below: *
Required
Will you attend Virtually or In-Person? *
We would like to keep you in the loop! Can we add you to our mailing list? *
Participation Waiver
By submitting this form:

1. I hereby agree to indemnify and hold harmless STL Rhythm Collaborative (STLRC) and its faculty/staff from and against any and all claims for personal injuries or damages of any kind arising from participation in the STLRC program. Furthermore, I authorize STLRC staff and faculty to seek emergency medical help for me and/or my child if this becomes necessary. I agree to indemnify and hold harmless STLRC personnel in seeking medical care for me and/or my child. I realize that every effort will be made by STLRC staff to contact me in the event of a medical emergency involving me/my child.

2. I give permission for my/my child's image/likeness to be used by STLRC for promotional purposes.
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