Trial Class Registration Form for Meaningful Movement Dance & Yoga
As a gift from us to you, we'd like to pay for your first class!
Please fill out this form and we will be in touch.
Email address *
Participant Name *
Your answer
Participant Birthday *
MM
/
DD
/
YYYY
Parent/Guardian Name - if applicable *
Your answer
Phone Number *
Your answer
Can we send you text messages *
How did you hear about us? *
Your answer
Which class would you like to try? *
Liability Waiver - As the legal parent or guardian, I release and hold harmless Meaningful Movement Dance and Yoga, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or in route to or from any of said premises. I understand that appropriate physical contact is required during the instruction of dance, and I give permission for instructors to make appropriate physical contact with me or my child for such instruction. *
Photo and Social Media - In conjunction with my participation, I give permission for Meaningful Movement Dance and Yoga to take and use photos and/or videos of me or my child without remuneration in connection with studio publications, website, social media, and advertising. I understand that for the safety of our dancers and their families names will not be published or posted publicly. *
Required
I have read and understand the policies listed above. Please print, sign and date your full name in the space below. *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Meaningful Movement Dance & Yoga. Report Abuse