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Dancer's Name

First Name

Last Name

Current Age

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PARTICIPATION WAIVER

If you are under 18 please have a Parent/Guardian review this section with you.

I recognize that potentially severe injuries can occur in any activity involving height or motion, including dance and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of students and, in consideration to use these facilities, I hereby CONSENT NOT TO SUE and FOREVER RELEASE illFX Entertainment Inc, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered during instruction, supervision, and/or control during any and all classes or extra activities.

I Consent

Yes

Which Class(es) Will You Be Attending?

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Sunday 4pm - Atlas

Monday 6:30pm - Pegasus

Tuesday 7:00pm - Kratos

Wednesday 6:30pm - Athena

Thursday 7:00pm - Nemesis

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