FREE Sunday Class Registration Form

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Sign up to attend one, two, or all three of our free classes!

By registering for any of these classes, I acknowledge I am agreeing to our Photo Release and Liability Waiver (below).

Central Midwest Ballet Inc., may, from time to time, take video and/or photographs. We may use these photographs for publicity purposes such as but not limited to: the website, Facebook, and news releases. Central Midwest Ballet Inc. is not responsible for any illness, or injury while participating in any program sponsored by CMB. I release and indemnify CMB from any claim, illness, damage or suit whatsoever which may arise from personal illness or injury or property damage suffered while at Central Midwest Ballet Inc.

Email *

Which class(es) would you like to attend? *

Sunday, April 28

Sunday, June 2

Dancer Name (First and Last) *

Dancer Age *

If Dancer is under 18 - Parent/Guardian Name

Phone # for Emergency Contact. If dancer is under 18, please use parent/guardian #. If dancer is current CMB dancer, we will use what is on file.

I understand and agree to the above Photo Release and Liability Waiver. *

I agree to the above Waiver and Release.

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