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 *
Email *
Address *
Phone number in case of Emergency *
Event participating in *
Required
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. *
Required
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