Registration

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FUSION minis is composed of dancers in the 2nd-3rd grade who specialize in hip hop dance and choreography. Through hard work and practice, its members excel in providing high-energy performances packed with innovative style and attitude that is sure to keep their audience on the edge of their seats. The group travels, performs, and compete throughout the Chicagoland area year round, re-auditioning annually in early June. August 12, 2024 (make-up audition) Jazz, Hip Hop, and/or Lyrical 4-5pm: Grades K-2 in Fall ’24 5-6pm: Grades 3-6 in Fall ’24 (tech) 6-7pm: Grades 3-6 in Fall ’24 (hip hop) 7-8pm: Grades 7-12 in Fall ’24 (tech) 7-8pm: Grades 7-12 in Fall ’24 (hip hop)

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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)*

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

Questions/Options:


New dancers: do you have hip hop experience? If so, please list your experience/training.
What grade are you going into next fall?*
Are you also interested in being cast in a small group dance?*

Additional Information:

Waiver & Release of All Claims

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I, as the legal parent or guardian of the child[ren] listed on the Studio 18/ FUSION Dance Company, LLC. 2018-19 registration form, have chosen to have my child[ren] participate in dance instruction and/or programs at Studio 18/FUSION Dance Company, LLC. I acknowledge that I understand the nature of the activities my child[ren] will be participating in and that my child[ren] is/are in the proper physical condition and capable of participating in the related activities, understanding that Studio 18/FUSION Dance Company, LLC. is not in any way responsible for making such a determination. I also give permission to Studio 18/FUSION Dance Company, LLC. to seek medical treatment for my child[ren] in the event they are not able to reach a parent or guardian.

I HEREBY WAIVE, RELEASE, AND DISCHARGE Studio 18/FUSION Dance Company, LLC and all divisions thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or instruction of camps, classes, intensives, private instruction, choreography or any activity I may participate.

In consideration of my child[ren]'s enrollment in any dance instruction or program, I understand and agree on behalf of myself and my child[ren], to release, hold harmless, and discharge Studio 18/FUSION Dance Company, LLC., its owners, officers, staff, employees and independent contractors from all claims, costs, liabilities, expenses or judgments, including attorneys' fees and court costs for any occurrences in connection with any dance instruction or programs at Studio 18/FUSION Dance Company, LLC. I assume all risks to my child[ren] in connection with any instruction or participation in programs and further release Studio 18/FUSION Dance Company, LLC., its owners, officers, staff, employees, or independent contractors from any li-ability for any injury sustained by my child[ren] while he or she is enrolled in any dance instruction or program, including all risks reasonably connected with such activity whether caused by negligence or any other cause foreseen or unforeseen.

I understand that Studio 18/FUSION Dance Company, LLC. is not responsible for my child[ren] or other children under my supervision who are left unsupervised in the common areas and areas surrounding the dance studio.
I understand that Studio 18/FUSION Dance Company, LLC. is not responsible for personal property that is lost, damaged or stolen while I or my child[ren] is on Studio 18/FUSION Dance Company, LLC. property.

My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I am of lawful age and competent to sign this affirmation. By singing this contract you acknowledge that email is a valid and acceptable form of communication. It is your responsibility to update your profile if you should change your email or credit card information.

I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS WAIVER AND RE-LEASE AND HAVE READ THE SAME PRIOR TO SIGNING.

I understand that my child[ren] will not be enrolled in any class[es] or programs at Studio 18/FUSION Dance Company, LLC. without this signed Waiver and Release of All Claims form.

I've read the above and agree.

Refund Policy

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Photo & Video Release

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