Registration

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DANCE WITH THE NATIONALLY RANKED SDSU DANCE TEAM! Dancers will be split into 3 different age groups. Open to all dancers 5-18! No Refunds!

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact & Phone (Not Contact #1 or #2)*

Students entered below will be added to your family's account

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Additional Information:

Pulse Dance Studio - Liability Waiver

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Pulse Dance Studio - Waiver

In consideration of my membership at Pulse Athletics LLC, and my participation in classes, events, competitions, and activities, I agree to be bound by each of the following for the entire length of time that I am a student at Pulse Dance Studio. If any of the following above information changes, I agree to provide an updated form to

Eligibility: I agree to comply with the rules of Pulse Dance Studio.
Readiness to Participate: I will only participate in Pulse Dance Studio classes, events, competitions, and activities for which I believe that I am physically and psychologically prepared. Prior to participation, I will have practiced my exercises and will perform only those exercises which I have accomplished to the degree of confidence necessary to assure I can perform them by myself, and without injury.
I allow my child to be in photos promoting Pulse Dance Studio on social media and within the studio.
Medical Attention: I hereby give my consent to Pulse Dance Studio to provide, through a medical staff of its choice, customary medical attention, transportation, and emergency medical services as warranted in the course of my participation.
Waiver and Release: I am fully aware and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death, as well as other damages and losses associated with participation in dance activities and events. I further agree that Pulse Dance Studio, and the sponsor of any Pulse event, along with the staff, employees, agents, officers, and directors of these organizations shall not be liable for any losses or damages occurring as a result of my participation in the event, except where such loss or damage is the result of the intentional or reckless conduct of one of the organizations or individuals identified above.

This notification of risk and enrollment has been read thoroughly, is understood completely and has been discussed with my child. It is being signed voluntarily and I acknowledge its content and intent.

I've read the above and agree.

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