21-22 registration
We cannot wait to have you back for another fabulous year of dancing!  Please make sure you have reviewed the information at: http://www.shootingstardancenj.com/dancing-into-2021-2022-vip-registration/       before filling out this form.

Any questions please let me know.  This form and VIP registration benefits close on 6/14/21.  You can always register after but spots will not be held after the deadline and any benefits expire then as well.
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Student(s) Names *
Please confirm your email *
Please confirm the phone number for text messages *
Weekday or weekend class? *
How many payments? *
Please use this space to let us know if you want a non performance package, want to add hip hop along with a combo class, or want to just take hip hop, or anything else you can think of.
Please electronically sign and date the waiver:    It is understood and agreed that Katie Hickey, trading as Shooting Star Dance Center shall not be liable for any damages arising from personal injuries sustained by the student in, on or about the premises, liable resulting from or arising out of the negligence of the agents and employees of the aforesaid dancing school, or the negligence of any other person present on said premises.                                                                       I further agree to permit said Katie Hickey, trading as Shooting Star Dance Center, to use any photograph or video in which my child may appear for promotional purposes only.                                                                   Covid-19 HOLD HARMLESS: The Student and/or Parent/Legal Guardian below acknowledges that the novel Coronavirus (“COVID-19”) represents a serious health condition for persons exposed to it and that all students and parents/guardians for students currently enrolled at Shooting Star Dance Center (SSDC) are relying on the truthfulness and accuracy of the certifications made herein: (1) Each Student and immediate family of each student represents to the best of their knowledge, information and belief, that neither they nor any member of their household whom they live: a. Has been diagnosed (tested positive) for COVID-19 or has a test pending for COVID-19, b. Shows signs of suspected COVID-19 (fever, cough, shortness of breath, etc.), c. Is under quarantine directed by a healthcare provider due to COVID-19 concerns d. Has travelled within the past 14 days to anywhere designated as having widespread ongoing transmission of COVID-19, defined by the CDC as a Level 3 Health Notice Country (For a current list of Level 3 Health Notice countries, please visit: https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html) e. Has had contact with anyone diagnosed with COVID-19. (2) The undersigned acknowledges that there is presently no home test kit to detect COVID-19 and that the virus cannot be observed by a visual inspection. (3) The undersigned acknowledges that there is no guarantee or warranty that the other Students or Staff are free from COVID-19 and that they each voluntarily assume the risk of attending classes at the Studios or other location procured by the Director for the use of the SSDC. (4) The SSDC and the undersigned each agree that if any representation made in this Hold Harmless should become untrue they will inform the other parties of the change. In acceptance of the above statements, Student and Legal Guardian/Parent agree to hold harmless SSDC Director and Staff from any and all liability, arising out of or related to the COVID-19 virus. *
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