FREE DANCING PRINCESSES REGISTRATION 2021

• Introduction to the wonderful, creative world of DANCE for 3 - 5 yr old Princesses
• Imaginative Instruction using OUR FAVORITE Princesses for Inspiration!
• Magical Music and Enchanting Movement
• Tutu's, Tiara's and Ballet Vocabulary
• "Make Believe" and we can dance!

FREE PRINCESS WORKSHOP
TUESDAY - JUNE 22, 2021
10:30-11:00 am
PRINCESSES - 3 - 5 Yrs.

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Princesses' Name Princesses' Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Parents/Guardians
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone
Bus/Cell Phone
School
How You Heard About Us
Medical Information
Emergency Contact

Person to contact in case parent or guardian is unavailable
Name Name First Last
Relationship
Release
I grant permission to the staff of the dance school to take first aid or emergency measures as judged necessary for the care and protection of my child or myself as a parent participating in an organized school activity while under the supervision of the school. In case of medical emergency, I understand that my child/myself will be transported to an appropriate medical facility by the local emergency unit for treatment if the emergency unit deems it necessary. I understand that in some medical situations the staff will need to contact the emergency resource before the child’s parent, physician, and or other person acting on the parent’s behalf. I also understand and agree that the child’s parents or legal guardians shall be responsible for any expenses incurred. As the parent/legal guardian of
I agree to hold harmless from any and all liability the school, its officers, employees, independent contractors, both in their professional capacity and personally, for all injury or illness resulting from or in any way connected with his/her participation and parents and siblings participation in the classes, activities or special events at the school.

I understand my child’s, or my participation may result in possible exposure to illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19. I knowingly and freely assume all such risks, both known and unknown and I will not hold DEDA*, its owners, director, officers, employees, independent contractors, volunteers and any other participants liable for any illness or injury which may result from possible exposure to infectious diseases as a result of participation in any DEDA* class, activity or event offered in a DEDA* studio, other location or on a virtual platform.

I understand that it is the school’s policy that while under the supervision of the school no child is allowed to leave the building without a parent/legal guardian or the written permission of a parent/legal guardian and that the parents/legal guardians assume full responsibility for the actions and behavior of the child, the child's siblings and themselves. Parents/legal guardians give their permission to the school to use photos and or video of their child, child's siblings and themselves without remuneration in connection with school publications, advertising, news and tv coverage.

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Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

FREE DANCING PRINCESSES REGISTRATION 2021

FREE DANCING PRINCESSES REGISTRATION 2021

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Emergency Contact

Release

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