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Dynamic and energetic style fusing hip hop and pop movement styles with Korean pop music.
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Family Information |
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Students entered below will be added to your family's account
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Additional Information: |
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Payment
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I understand that my credit card on file will be processed for payment at the time of signup.
Refunds: No refunds within 5 days of event.
I've read the above and agree.
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Waiver of Liability
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Each individual is participation at their own risk. If you are 21 or older, you alone may sign that you understand this risk, however if under 21, a legal parent of guardian must sign. I agree to indemnify and hold harmless Northwest School of Dance and it owners, officers, and employees from any damage or loss arising our to the individual's participation with said organization, whether inside or outside the studio facility, or at an offsite location. I recognize the risk of illness and injury inherent in any dance exercise program and therefore waive and release Northwest School of dance from any and all claims, cost, liabilities, expenses, judgments including attorney's fees and court costs that may arise out of my participation with Northwest School of Dance. I understand that in signing below, this hold harmless also extends to any person involved/associated with my child such as parents, chaperones, guardians, grandparents, ect., whom may be responsible for the child specified on this form on any particular day or circumstance.
I've read the above and agree.
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Medical Release
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I, who by law may do so, authorize the administration of emergency medical treatment to myself, my son, or my daughter, who is subject to this form. I understand all reasonable safety precautions will be taken at all times by Northwest school of Dance and its agents to avoid accident, injury, and disease, and therefore, I will not hold Northwest School of Dance and its agents liable for any accident, injury, or disease incurred by subject of this form. I understand that if the event of medical intervention is needed, every attempt will be made to contact the person(s) above immediately.
I've read the above and agree.
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Right to Publicize
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With my signature, I also give permission to Northwest School of Dance to use any production photos and/or video of myself or the child specified on this form for advertising purposes. At time I may choose to opt out of allowing Northwest School of Dance to use said photos or videos by submitting a written letter of request. In addition, I understand that Northwest School of Dance reserves all rights to any and all pictures and choreography to Northwest School of Dance. I agree not to broadcast, publish, upload, copy or perform in public any such photos or choreography, in part or in whole, without the express written consent of Northwest School of Dance owners.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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Zip:*
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