Tapestry Dance Ministry
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Participant's First and Last Name *
Participant's Date of Birth *
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Parent/Guardian First or Last Name if under the age of 18 *
Participant Phone # *
Parent/Guardian Phone # *
Participant Email *
Parent/Guardian Email *
I hereby give permission for my dancer to participate in classes and activities conducted at Barbie Rhodes Dance. I agree to release from liability and hold harmless, as well as waive any potential claims against Barbie Rhodes Dance Studio, its employees, and agents. *
Parents or legal guardians of student(s) agree to release from liability and hold harmless, as well as waive any potential claims against Barbie Rhodes Dance Studio, its employees and agents.Barbie Rhodes Dance Studio, employees of the studio, agents, or contracted employees are hereby granted permission to take photographs or videos of all students to use in advertisements, websites, social media, facebook, instagram, twitter, snapchat, and/or other promotional materials related to Barbie Rhodes Dance Studio. Barbie Rhodes Dance Studio has permission to copyright such material in its name. *
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