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FREE Trial Class!

For dancers ages 8 - 13!

Sunday, June 8th 12:45 - 1:15 PM

DJD Dance Centre - 111 12 AVE SE

Dancer's Name

First Name

Last Name

Current Age

PARENT / GUARDIAN INFORMATION

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

PARTICIPATION WAIVER

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

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Trial Class Under 14

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FREE Trial Class!