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INTENSIVE DATES:
July 24th-28th
Age group:
MINI (5-8)
JUNIOR (9-11)
TEEN (12-14)
SENIOR (15 and up)
*Please note: we will take your dancers age as of July 24th, 2023.
GUEST TEACHERS:
Musical theatre: Gina Daugherty and Jenn Schaefer
Jazz: Britney Hall and Emily Roberson
Technique: Kelsey Nelson and Lauren Von Ohlen
Hip hop: James Marino and Miranda Widmann
Contemporary: Shelby Feddema and Mary Grace Wiedt
?Out of town teachers?
Mini 2:30-3:45
Junior 4-5:15
Teen 5:30-6:45
Senior 7-8:15
?STL area teachers?
Junior 2:30-3:45
Mini 4-5:15
Senior 5:30-6:45
Teen 7-8:15
COST OF INTENSIVE:
$280 for those who sign up in May. Cost will go up to $325 after May.
QUESTIONS:
Please email morganb@myfusiondance.org with any questions!
PAYMENTS WILL BE UNDER THE NAME BROCKSROCK LLC.
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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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WAIVER AND RELEASE
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I agree that if my dependent or I (heretofore know as 'we') engage in any physical exercise, class, activity, or facility on the premises or any venue where we participate as a representative of Fusion Dance Center, we do so at our own risk. I agree that we are voluntarily participating in activities and use of said facilities, premises (including the parking lot), and designated Fusion Dance Center venues. We assume all risk of injury, illness, damage, or loss to us or our property that might result, including, without limitation, any loss or theft of any personal property. I agree that this consent and assumption of risk statement covers each and every event or activity sponsored by Fusion Dance Center. I agree to release and discharge you (and your affiliates, employees, agents, representatives, successors, and assigns) from any and all claims or cause of action (known, or unknown) arising out of your negligence. I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a release of liability. I am waiving any right that I may have to bring legal action to assert a claim against you for your negligence.
I've read the above and agree.
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MEDICAL RELEASE
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I give permission for Fusion Dance Center, studio teacher, or studio parent to take my child to a medical/ dental facility, if necessary. In case of emergency, if none of the above can be contacted, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. I accept full responsibility for all costs of said medical care and any emergency treatments. Fusion Dance Center will not be responsible for the cost of any medical care or emergency treatments. I hereby waive all claims whatsoever in connections with such medical treatments.
I've read the above and agree.
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Credit Card Verification: |
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Name as it appears on card: * |
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Exp Year: *
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