Tiny Toes Student Registration
Student Name *
Your answer
Student Birthdate *
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DD
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Location of Dance Class *
Parent's Name *
Your answer
Email address *
Your answer
Home address *
Your answer
Contact Number *
Your answer
Release
By signing this contract you understand that you have enrolled in Tiny Toes Dance for the purpose of taking various classes and participating in activities which will require physical exertion and mental concentration. You acknowledge that these classes and activities present some risks to the student(s) involved and hereby waive any and all claims to indemnify Tiny Toes Dance, its owners, contractors, employees, landlords, instructors, and agents from any an all liability or suit, of any nature, arising from the student(s) participation in these activities. I understand that this is a full and complete release for all injuries or damages which I or my child may sustain as a result of my/his/her participation in any activities, regardless of the specific cause thereof.

I also understand that I need to give 14 day notice of cancellation.
Check this box if you have read and understand the release and contract as seen above. *
Required
Sign your name below if you have read and and agree to the release and contract above. *
Your answer
Please date your signature of this release form. *
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Photo Release
Payment Method *
To Submit Payment
Please return to http://www.tinytoesutah.com/#!registration/su2l9 to submit payment via paypal.
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