Champions Tour Workshop USA (Tristate)

Please fill out the form below and submit your payment via Venmo (@swapna-komarraju) or via zelle to confirm your spot. 

Contact Number 

1.Kuthu Hip hop 
Date-- April 27 
Price--$35 Bundle 2 Workshops $60
Artist-- Charlesedward
Workshop--  6-8 pm
Address --Studio Dhoom
22621 Amendola Ter Ste 120
Ashburn VA 20148

2. Bollywood Hip hop 
Location Ashburn
Date-- April 28 
Price--$35 Bundle 2 Workshops $60
Artist--Karthik Priyadarshan
Workshop--  6-8 pm
Address--Studio Dhoom
22621 Amendola Ter Ste 120
Ashburn VA 20148

Bundle Pricing for both classes is $60. 
Follow them on social media on IG for more details!!

Note:You must submit payment when registering to confirm your spot. Please ensure you complete payment when you fill out this form .

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What's your name ?
Name *
Your email  *
Your age ? *
Which classes are you registering for ? *
I understand that photos and video recordings of me may be taken during my participation in class. I confirm full rights and interest in these recordings. I understand such recordings may be used in advertising or other published materials, physical or virtual. If I do NOT consent to being photographed or video recorded, I will make sure to voice my concerns, I will be proactive about avoiding being photographed or recorded and I will hold Srishti Dance Academy harmless if a photo or video recording of me is released despite all precautions. I understand that this choice may limit my participation in performances that are routinely photographed and/or videotaped.  *

LIABILITY RELEASE: By participating in dance classes offered by Srishti Dance Academy , I understand and acknowledge that dance, like any physical activity, carries a risk of injury. I voluntarily assume all risks associated with participation, including but not limited to falls, collisions with other participants or objects, and any physical or emotional injuries that may occur.

I hereby release, discharge, and hold harmless Srishti Dance Academy, its instructors, employees, and representatives from any and all claims, demands, damages, or causes of action arising out of or relating to my participation in dance classes, including those resulting from the negligence of the released parties.

I understand that it is my responsibility to consult with a physician prior to participating in any physical activity, including dance classes, to ensure that I am in suitable physical condition. I also agree to follow all instructions given by the instructors and staff of Srishti Dance Academy  regarding safety and conduct during classes.

I have read and understand this release of liability and voluntarily sign it with full knowledge of its significance."

I have sent a Venmo payment to @swapna-komarraju  or via Zelle to to confirm my spot. 
Price: $35 single class, $60 Bundle class(2 class)

Filling out the form without submitting payment does not guarantee your spot.

*Include your full name and class name in the details 

* Make the transaction private 

*Registration is non-refundable. You may transfer your ticket to another person but please make sure to contact me with the name and email address of the person taking the ticket. If you are unable to come please inform me as well. 

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