Parent Permission - FDC Bring a Friend to Dance Week
Bring a Friend to Dance Week
October 2-7, 2017
If your friend registers this week, you both receive a $10 TUITION CREDIT!

Friends must not have danced at Fireworks Dance Center in the last year (since the 2016 recital) in order to be eligible for tuition credit incentive. Former FDC students are very welcome to attend any eligible class this week.

Every current student who brings a friend will be entered to win $25 towards a Winter 2017 FDC Spirit Wear order, plus 10 FREE basket chances at the Competition Team Bingo (must attend Competition Team Bingo, and Bingo entrance ticket cost not included).

Your friend MUST have this parent permission form (paper or electronic) completed by a parent or guardian to attend a class.
Your friend should wear form-fitting clothes that do not restrict movement. No jeans, bare midriffs, or clothing with inappropriate writing or images. Dance shoes are not required. Dance in bare feet.

Child's First and Last Name
Your answer
Child's Age
Your answer
Child's Birthdate
Your answer
Parent/Guardian's Full Name
Your answer
Your relationship to Child
Your answer
Thank your FDC Friend!
What FDC dancer brought you as a friend today? This FDC dancer is eligible for a discount and other incentives.
FDC Friend's Name
Your answer
Please let us know of any allergies, health concerns, or special circumstances
Your answer
Release of Liability
I understand that activities at Fireworks Dance Center, Inc. are physical and with all physical activities, injuries are possible. I understand and will not hold Fireworks Dance Center, Inc. or its teachers responsible for any injury or loss that may occur. When sending your child to Fireworks Dance Center, Inc. I understand my child should be covered by my own insurance and I will not hold Fireworks Dance Center, Inc. responsible for accidents that may occur. It is agreed that participating in any class taught or organized activity at Fireworks Dance Center is undertaken at the sole risk of the student. Students, parents, and guardians hereby agree to hold harmless, release, and forever discharge Fireworks Dance Center, its employees, contractors, consultants, advisors, and owners from any and all claims for injury or damage to the student’s, parents’, guardians’ and visitors’ person or property arising out of or in connection with participation in any event or class taught by Fireworks Dance Center and from all acts of active or passive negligence on the part of Fireworks Dance Center and any of its employees, contractors, consultants, advisors, and owners.
Agree to Release of Liability
Required
Photo Release
Fireworks Dance Center is given all rights to use photos/videos for promotional use. I give Fireworks Dance Center, Inc. permission to photograph me and my child and to use the photographs around the facility and as a promotional tool. I understand FDC will not publish my or my child's name when publishing the photo.
Agree to Photo Release
Required
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