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* 1. Dancer First and Last Name

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* 2. Dancer Birthday (MM/DD/YY)

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* 3. Parent Name, Address, Phone, and Email address

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* 4. Medical Conditions SDS should be aware of (e.g. allergy, migraine, etc.)

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* 5. I am registering my dancer for the following dance classes

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* 6. Release of Liability - I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Showcase Dance Studio (SDS), its owners, employees, instructors, and all affiliated entities (hereinafter collectively referred to as “SDS”). I hereby agree to release SDS and hold SDS harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of the participant. I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. The participant has my permission to participate in SDS Classes. I warrant the below information is complete and correct. I further release SDS of all liabilities associated with my child’s attendance at SDS.

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* 7. COVID Precautions and Release - For the safety of all participants and staff, I understand certain precautions and restrictions may be necessary due to COVID-19. This may include, but not limited to, screening questions before class, temperature taking, cloth masks, waiting room closures, changes to schedule, cleaning and sanitizing measures, following CDC guidelines, and following additional measures Showcase Dance Studio may put in place. If restrictions change, classes may have to be transitioned from in studio to virtual. I agree to follow all policies and protective measures.

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* 8. Media Release - I authorize and grant Showcase Dance Studio (SDS) to take photos regarding my child's experiences with them. I grant SDS to use photos on Facebook, Instagram, other social media platforms, advertising, and marketing. I understand I will not receive any monetary compensation.

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* 9. Next Steps - You will receive a confirmation email with additional information 5-7 business days after receipt of your registration.

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