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These "Mini-Classes" are designed to give students (and parents) a brief view of some of the different styles of classes that are offered at NSD. Dress in comfortable clothing that allows you to move easily, such as shorts, leggings, dance clothes if you have them. No jeans, please. Dance shoes are not required - we do have a few "borrow shoes" available to use, but socks are okay for most of these mini-classes, or you may wear clean street shoes for hip hop class. While you are visiting, enter our drawing for a chance to win a FREE dance class for a month... 10:15-10:35am Ballet 7-10yrs, Combo 5-6yrs, Hip Hop 11yrs & older 10:40-11am Ballet 11yrs & older, Combo 3-4 yrs, Hip Hop 7-10 yrs 11:05-11:25am Lyrical 7-10yrs, Tap 11yrs & older 11:55am-12:15pm Lyrical 11yrs & older, Tap 7-10yrs 12:20-12:40pm Modern 9yrs & older 1:10-1:30pm Jazz 7-10yrs, Acrobatics 11yr & older
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Student's First Name:
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
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Student's First Name:
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Student Email:
School:
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Grade Level:
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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Student Email:
School:
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Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
Medications, Leave Blank if None:
Primary Doctor:
Questions/Options:
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Additional Information:
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.
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.
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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