2019-2020 Invoketress Dance Registration
CLASS INFORMATION: http://invoketress.com/classes/

If you have any questions or concerns please email: ishrablanco@yahoo.ca

Join the online Invoketress Community to stay up to date on classes, events and connect with other students and teachers:
https://www.facebook.com/groups/1195595297151864/

Invoketress:
www.invoketress.com
www.facebook.com/invoketress
www.instagram.com/invoketress
www.youtube.com/invoketress

Email address *
Name *
Your answer
Email *
Your answer
Phone Number
Your answer
Have you attended classes with Ishra before? *
Your answer
CLASSES 2019
Accepted Forms of Payment
Cash
Cheque made out to Ishra Blanco
E-transfer to ishrablanco@yahoo.ca (password: dance)
What class(es) would you like to register for? *
Required
What is your level of dance experience or background? *
Your answer
Do you have any questions, comments or concerns?
Your answer
Do you have any existing injuries or health conditions?
Your answer
Emergency Contact Information *
Name and phone number
Your answer
Liability Release and Assumption of Risk
By typing my full name (eg. Jane Doe Smith) I acknowledge that participation in dance classes and activities could result in some possible personal injury. Despite precautions being taken by the studio, accidents and injuries may occur. By signing this release form, I (the Participant) assume all risks related to the use of any and all spaces used by Invoketress Dance, Ishra Blanco, Elite Dance Project and Flying Dance Studio. I agree to release from responsibility Invoketress Dance, Ishra Blanco, Elite Dance Project, and Flying Dance Studio including all teachers, dancers, staff members, owners, and facilities used from any cause of action, claims, or demands now and in the future. I will not hold Invoketress Dance, Ishra Blanco, Elite Dance Project, and Flying Dance Studio liable for any personal injury including: scrapes, bruises, cuts, sprains, fractures, broken bones, concussions or death or any personal property damage/loss, which may occur on the premises before, during or after classes.
Media Release and Consent *
I give permission for photographs/videos of myself to be used for publicity and/or advertising.
Electronic Signature *
Type your full name (eg. Jane Doe Smith)
Your answer
A copy of your responses will be emailed to the address you provided.
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