Waiver

STUDENT & GUARDIAN INFORMATION
Student 1 Name *
Student 1 Name
Student 1Birthdate *
Student 1Birthdate
Student 2 Name
Student 2 Name
Student 2 Birthdate
Student 2 Birthdate
Parent/Legal Guardian Name *
Parent/Legal Guardian Name
Phone Number *
Phone Number
Parent/Legal Guardian Name
Parent/Legal Guardian Name
Phone Number
Phone Number
Home Address *
Home Address
EMERGENCY CONTACT
Emergency Contact *
Emergency Contact
Emergency Contact Phone Number *
Emergency Contact Phone Number
ENROLLMENT
Classes To Enroll In *
Choose as many classes as you'd like.
Signature *
Signature
We, the staff at Project Dance, recognize our obligation to make sure our students and their parents are aware of the risks and hazards involved in the sport of dance. By signing this waiver, you release Project Dance and all its employees from all claims on account of any injury which may be sustained by your child while attending any dance class, even associated with Project Dance or outside performance. You also affirm you now have, and will continue to carry, proper primary medical, health, and hospitalization and accident insurance, which you consider adequate for the protection of both your child and Project Dance. I understand that tuition payment is due prior to class and is non-refundable. By signing this waiver electronically, I give Project Dance permission to contact me about the student(s) I am enrolling regarding tuition, classes, and any other pertinent information.