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Come Dance with the Ballet Bunny! Crafts, story time, dancing, decorate you own Easter cookie and loads of fun with the Ballet Bunny!
Once you register please log into your parent portal account from our home page of our website using the email you used to sign up. We will bill you your $20.00 balance 2 weeks before the event.
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Event: |
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Start Date/Time: |
End Date/Time:
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Fee per Student:
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Room:
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* - denotes required fields |
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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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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Additional Information: |
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Release of Liability
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As the legal parent or guardian, I release and hold harmless Freckled Frog Dance Studio its owners and operators from any and all liability, claims, demands, and causes of action whats so ever, arising out of or relating to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises on our online classes(zoom) Recorded classes or any premises under the control of Freckled Frog Dance Studio, its owners and operators or in route to or from any said premises. I/we accept that correct teaching may involve the use of touch by the Freckled Frog faculty members as a necessary tool to correct placement, lines, and positions, and by signing below I/we authorize and agree to these teaching practices. I acknowledge the contagious nature of COVID-19 and other contagious diseases and viruses and voluntarily assume the risk that I and/or my children may be exposed to or infected by COVID-19 by attending and participating and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed or infected by COVID-19 and other contagious diseases and viruses may result from the actions, omissions, or negligence of myself and others, including but not limited to, employees, volunteers, and program participants and their families.
I've read the above and agree.
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Medical Emergency
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The undersigned gives permission to Freckled Frog, its owners and operators to seek medical treatment for my child who I enrolled and will be participating in the event if they are not able to reach a parent or guardian. I understand that I must hereby declare any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.
I've read the above and agree.
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Consent of Photography/Video
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In signing this form, I consent to and authorize the use and reproduction by Freckled Frog, of any and all photographs, recordings, videotapes, and/or other reproductions of likeness of the student's person or characteristics without compensation to the student.
I've read the above and agree.
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Charge Date is 14 Days before Event
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Your card will be charged $20.00 14 days before event. No refunds or Credits once card is charged.
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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