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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 classes. (SDS will help place dancers in the correct class).

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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, its owners, employees, instructors, and all affiliated entities (hereinafter collectively referred to as “Showcase Dance Studio”). I hereby agree to release Showcase Dance Studio and hold Showcase Dance Studio 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 or potential exposure to COVID-19.  The participant has my permission to participate in Showcase Dance Studio Classes. I warrant the below information is complete and correct. I further release Showcase Dance Studio of all liabilities associated with my child’s attendance at Showcase Dance Studio.

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* 7. Social Media Release - I authorize and grant Showcase Dance Studio (SDS) to take my photos regarding my experiences with them.  I grant SDS to use my photos on Facebook, Instagram, and other social media platforms.
I allow SDS to edit, alter, copy, or distribute the photos for social media advertising and marketing.  I understand I will not receive any monetary compensation.

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* 8. COVID-19 - 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, 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 Zoom.  I agree to follow all policies and protective measures.

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* 9. Next Steps - Please allow up to 1 week (5 business days) for SDS to process your registration.  SDS will send you a confirmation email that your registration has been received and processed.  This confirmation email will also include information regarding payment and opportunities to purchase dance shoes and dance clothing.  We look forward to a fun summer session!

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