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Fall will be here before you can say 'back to school,' and we all know how important it is to keep kids motivated and active, even during the school year. A great way to keep your children (girls AND boys) movin' and groovin' is enrolling them in dance classes. The Dance Corner, takes the guesswork out of finding the right classes with their Try-It Days , Featuring over 50 free mini classes, on Thursday 8/25, Saturday 8/27, and Monday 8/29! The Dance Corner will offer over 50 different mini classes for dancers of all ages and levels. The event will also feature sales on dancewear along with prizes and giveaways for participants. All are welcome to attend this free event; girls and boys, beginners and advanced students. All classes are free!
Event:
Start Date/Time:
End Date/Time:
Fee per Family:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Father
Guardian
Mother
Other
Parent
Home Phone:
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Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
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NH
NJ
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OH
OK
OR
PA
RI
SC
SD
TN
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VA
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WA
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Zip:
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Emergency Contact Info
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Add New Student #1:
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Student's First Name:
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Last Name:
*
Student Pronoun:
He
She
They
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Pronoun:
He
She
They
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Pronoun:
He
She
They
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Pronoun:
He
She
They
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Pronoun:
He
She
They
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Questions/Options:
Please list the AGE and name of each student who will be participating in a free dance class.
What classes will each student be attending on Try-it day?
Has this student had any previous dance experience?
Yes
No
If you answered yes to question 3, please tell us more about this student's previous dance experience.
How did you hear about our studio?
Additional Information:
Release of Liability
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It is understood that the risk of injury is inherent in dance. The Dance Corner, LLC strives to reduce the risk through proper dance training techniques. By submitting a registration, online or otherwise, the parent/ guardian and student are willing to assume those risks and release and hold harmless and indemnify The Dance Corner, LLC, its agents, members, subcontractors, employees, participants and volunteers from and against any and all claims, demands, actions, judgments which the undersigned, or any other person ever had or may have against The Dance Corner, LLC for any losses, costs and expenses (including attorney's fees) and damages or injuries known or unknown, real or personal, sustained by the undersigned or their child while in attendance and/ or participating in any Dance Corner, LLC programs. The parent/ guardian and student also agree that they will not hold The Dance Corner, LLC responsible for the loss or damage of personal property while in attendance and/ or participating in any of these programs.
I've read the above and agree.
Photo Consent
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The Dance Corner, LLC maintains a website, publishes a newsletter, uses pictures in marketing brochures and posts them in local newspapers. The Dance Corner, LLC may use your child's photo (e.g. in class photos, recital photos and costume portraits) for these purposes unless you notify us in writing that we may not.
I've read the above and agree.
Physical Contact
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Dance is an art form that requires teachers to be able to have appropriate physical contact for the purposes of making technical corrections. By submitting a registration (online or otherwise), the parent/ guardian and student are granting consent for such physical contact.
I've read the above and agree.
Signature Text
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As the legal parent or guardian, I release and hold harmless The Dance Corner, LLC, its agents, members, subcontractors, employees, participants and volunteers from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related 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 or any premises under the control and supervision of The Dance Corner, LLC, its agents, members, subcontractors, employees, participants and volunteers or in route to or from any of said premises.
I've read the above and agree.
Enter your Full Name:
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Other Questions/Comments:
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