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JOIN US FOR A MAGICAL TIME AT PRINCESS CAMP!
Cost includes: Snack, Craft, Princess Games, and Princess Themed Dance.
Dancers can wear any dance attire or princess outfit. They can wear ballet shoes, jazz shoes, or socks.
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Room:
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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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FEE
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The $30 fee for our Princess Camp will be debited from the card you put on the form upon enrollment.
I've read the above and agree.
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ASSUMPTION OF RISK AND WAIVER OF LIABILTY
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I (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate that severe injuries, including permanent paralysis or even death, as well as other damages and losses associated with participation in the programs or activities at JDI Dance Company (JDI) can occur in sports or activities including, but not limited to, dance, gymnastics, and tumbling. I (we) knowingly and willingly assume all such risks. Being fully aware of these dangers, I hereby give consent for my child(ren) to participate in any and all JDI Dance Company programs. In consideration for my child(ren's) participation, I (we) hereby for myself and my child(ren) and our respective heirs, executors and administrators, COVENANT NOT TO SUE and FOREVER RELEASE JDI Dance Company, the owners, operators, directors, officers, employees and other members of JDI Dance Company from personal injury or accident of any sort or nature suffered by my children or me (us), the undersigned, by reason of participation or membership in classes, lessons or any programs or activities of JDI Dance Company including those resulting from acts of negligence. I also assume all medical expenses for the aforementioned child or myself, who may be the result of any injuries sustained while training at, or performing for JDI Dance Company. Further, it is affirmed that sufficient insurance covering all such injuries and damages shall be in full force and effect throughout the program or it's equivalent throughout the child's/parent's dance participation.
I've read the above and agree.
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MEDICAL AUTHORIZATION AND RELEASE OF LIABILITY
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In any event of an accident or emergency I hereby authorize my child to be transported to a hospital for medical treatment and I hold JDI Dance Company and it's representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for JDI Dance Company.
I, the minor's parent or legal guardian, understand the nature of the activities my child will be involved in at JDI Dance Company and the minor's experience and capabilities, and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee's from all liability claims, demands, losses, or damages on the minor's account caused or alleged to be caused, in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations. I further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the releasees named above, I will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or any cost that may occur as the result of any such claim.
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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State:
Zip:*
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