Element's Free Trial Class
Hello and thank you for your interest in a free trial class! All you have to do is fill out the form and we will email or call you to set up your free trial class!
Parent's Name *
Parent's Email address *
Parent's Email phone number *
Student's Name *
Age of student *
Which class are you interested in for a free trial? *
Required
Dance Class Waiver Form. Type your name in the "short answer text box." By signing your name you are agreeing to the terms. The risk of injury is inherent in dance. Elements Dance Academy, LLC strives to reduce this risk through proper dance training techniques. However, it is understood that some accidents are unavoidable. As the legal parent or guardian of _______________________________, or as the Participant _______________________________, I hereby release and hold harmless Elements Dance Academy, its agents, members, subcontractors, employees, participants, land owners and volunteers from any and all liability, claims, demands, and causes of action which the undersigned, or any other person ever had or may have against Elements Dance Academy, LLC (“EDA”) for any losses, costs and expenses (including attorney's fees), damages, and/or for injuries, known or unknown, real or personal, sustained by the undersigned or their child while participating in any EDA programs, or which occurred on the EDA premises or at any other location while the participant was under the supervision of EDA, or while in route to or from any of the aforementioned locations. In the event of a serious injury, the undersigned gives permission to Elements Dance Academy, its owners, and operators to seek medical treatment for the participant if they are unable to reach a parent or guardian. I acknowledge that I MUST DECLARE ANY RELEVANT, PRE-EXISTING PHYSICAL OR MENTAL HEALTH CONCERNS, RESTRICTIONS OR CONDITIONS. I agree that a failure to disclose or the intentional withholding of such information will be considered a declaration by me that the participant is in good physical and mental health. The undersigned also agrees that they will not hold Elements Dance Academy, LLC responsible for the loss or damage of personal property while in attendance and/or participating in any of these programs. *
Any comments, questions, or concerns?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy