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BEGGINER BALLROOM SUMMER SERIES! Join us for a fun and welcoming 3 week intro to ballroom dancing! Weather you've never danced before or want to brush up on basics, this series is designed to get you moving with confidence on the dance floor. *No Experience Needed *No Partner Needed *Singles and Couples Welcome Register for all 3 weeks for $66 or use our Drop In rate at $25 per class. Contact us for more information!

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Family Information

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

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

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Photo Release (Y/N)?:
	Recital Participant (Y/N)?:

Additional Information:

Assumption of Risk

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This Agreement is entered into by and between Ballet Elle LLC (hereinafter known as “Studio”) and the undersigned client (hereinafter known as “Client”) for the purposes of setting a provision of Dance Classe services by Studio to Client, and Client’s use of any premises, facilities or equipment are contingent upon this Agreement.

RISK ASSUMPTION:
The Client agrees that engaging in any physical fitness activities, including Dance can be strenuous and the use of equipment or facilities, or being on the premises for any purpose involves the risk of serious injury.

Client does, at his/her own risk, whether engaging in physical fitness or not, in the participation of any program, activity, event, or instructions whether or not part of the Studio's programs for fitness, sports, or recreational activity, assume the risk and any injuries that he/she may incur, including injuries or damages sustained resulting from the use of equipment, facilities, accidents in the premises, whether provided for by the Studio or due to negligence of Studio.

RELEASE:
Client agrees to release, waive, discharge, and hold harmless the Studio, the Studio's affiliates, employees, agents or representatives, successors, and assigns from any and all claims or causes of action, without limitation to injuries whether resulting or occurring from travel related to Dance, with the use of any equipment or facilities of the Studio, or negligence, from loss, liability, or damages that the Studio might incur.

SEPARABILITY:
The Parties acknowledge that the clauses in this Agreement are intended to be read and construed as separate from each other. Any invalidity as declared by the court shall invalidate only the said provision. The rest of the remaining provisions shall remain valid and enforceable.

GOVERNING LAW:
This Agreement shall be construed in accordance to the State of Texas, without any regard to its conflicts of laws provision.

ACKNOWLEDGEMENT:
By signing this Agreement, Client acknowledges that he/she has carefully read this waiver and fully understands the content hereto. Client submits voluntarily and was not threatened, intimidated, or was under in any form of duress, representations or inducement.

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