Registration

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Audition for Club TDC for the 2022-23 Season! Club TDC is a hip hop / jazz based group with performance experiences, benefit show fundraising and performance participation, strong presence on TDC Social Media, sense of community and teamwork and enhanced leadership. In addition to weekly Club TDC performance choreography rehearsal, students must be enrolled in one hip hop or jazz class plus one additional technique class to participate on this team. REGISTER IN ADVANCE. A video will be emailed prior to the audition date. The dancer will present the choreography from the video at the audition.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Relationship to student*
	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:


Do you have prior dance experience? If yes, how long and what styles have you trained in?
What are your favorite styles of dance?
Is there anything you would like us to know about you?
Do you have any questions for us?

Additional Information:

Image Release and Recording

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Signature, Disclaimers and Medical Release

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ELECTRONIC SIGNATURE Your electronic signature is required to confirm your / your child's registration. It indicates you have read and accepted our Studio Policies as listed above. I understand that submission of this online registration includes my electronic signature and that my electronic signature requires my understanding and acceptance of The Dance Centre by Heidi Glynias LLC ("TDC") studio policies and conditions.

HOLD HARMLESS AGREEMENT I fully acknowledge and understand that dance class participation frequently includes exercise, bodily contact and other associated dangers, which may result in property damage or personal injury to me/my child. I hereby assume such risks and further covenant not to sue TDC, or any of its owners, employees, agents and/or representatives, for any and all loss or damage, including property damage, personal injury, and disability, arising out of or in any way related to my/my child's enrollment at TDC. I hereby agree to fully assume the risk and full responsibility of all such injury, loss, damage, and disability due to the negligence of others, including those being released herein, and on behalf of myself, my spouse, my child, and my next of kin. I acknowledge that I have read this liability waiver and that I am waiving any claim as set forth herein for myself, my child, my spouse, and my next of kin, and that I forever release, discharge, and will hold TDC, including its owners, employees, agents, and representatives, harmless from any such claims or actions. I understand that TDC and its agents urges for all students to obtain a physical examination from their physician prior to attending any class.

EMERGENCY MEDICAL RELEASE In the event I /my child requires medical care for any reason, I hereby authorize and give my consent to TDC, and its owners, employees, agents, and/or representatives, to seek such care on behalf of my child and/or transfer my child to any hospital or medical facility at my sole cost and expense. If possible, TDC will make reasonable attempts to contact me at the phone number(s) listed in my Online Portal prior to seeking such care and treatment for my child. I further agree that it is my sole and absolute responsibility to pay for the cost of any such care and treatment and that I will indemnify and hold TDC, including its owners, employees, agents, and/or representatives, harmless from all such costs.

INJURIES: The instructor should be made aware of any personal injury or issues before class so she/he can be fully aware of the student's condition or situation. TDC reserves the right to request a doctor's note for permission to return to classes after an injury.

ONLINE CLASSES and VIDEO DISCLAIMER I acknowledge & agree that all terms & conditions of TDC Policies also apply to any injury or damage that results from engaging in TDC-sponsored dance class participation away from TDC studio (e.g., via online, YouTube, videoconference, or otherwise).

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Other Policies

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