Limitless Movement Registration Summer 2022
Limitless Movement is a dance program for students of different developmental, intellectual, learning, and/or physical abilities. Classes will encourage members to move at their own pace while expanding boundaries and foster an environment of respect and community among all.

This 6-week program is the perfect introduction to dance or continuation of one’s dance journey!

Classes will be held from June 21-July 28, 2022 on Tuesday and Thursday evenings at The Dance Conservatory (2050 East Main Street, Cortlandt Manor, NY 10567).

5:30-6:30 pm for ages 12-16
7-8 pm for ages 17+
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Parent/Guardian/Caregiver Name (Please note: A parent/guardian/caregiver is required to stay for the class. Exceptions will be made on a case by case basis. Please reach out with any questions/concerns.) *
Dancer Name *
Dancer Birthday *
Dancer Age (and school grade if applicable) *
Preferred phone number *
Preferred email address *
Address *
Known medical issues and/or reason for registering for Limitless Movement *
Any prior dance experiences? *
Is there anything else I should know to best support you during classes? *
Emergency Contact (Other than parent/guardian/caregiver that will be present at classes) *
How did you hear about us?
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Liability Waiver: I, the undersigned, understand that there are risks of physical injury due to the inherent activity of dance and its training. I hereby agree to release The Dance Conservatory, Inc, its officers, agents, employees, contractors, faculty, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as "The Dance Conservatory") and hold The Dance Conservatory harmless of all liability. I hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance for "Student / Caregiver" listed above, including any and all claims of negligence. I also give The Dance Conservatory permission to use photographs, videos, or any likeness of "Student / Caregiver" for purposes of advertising and marketing in any form for The Dance Conservatory or a The Dance Conservatory affiliated event. Signature: *
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