Medical Release for Dance It Up with Music
This form is the medical release for all but not limited to trial classes, Girl Scout events, Referrals and more.
Name of Participant
Name of Parent/Guardian
Phone number in case of Emergency
Event participating in
DIP'M University Program
By checking this box I release Dance It Up with music and it's staff from any and all injuries that may be sustained during any event or class hosted by Dance It Up with Music.
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