Adult Classes Registration Season 12
Welcome to Adult Modern at FTLOD! Your Season 12 Instructor is Ms. Mikayla Burton. Classes will be held every Wednesday evening 6:30 - 7:30 PM. Fees are $15 per class and a one-time registration fee of $15. All students are required to pay monthly at $60 monthly or $15 per class at a drop-in rate. 

Please Note. The following dates will be virtual: 2/21, 3/27 & 4/17.  We will be using the REMIND app to send efficient communications and links for virtual class sessions.
DOWNLOAD THE REMIND APP HERE AND JOIN YOUR CLASS - Adult Beginner - Modern class on Remind! https://www.remind.com/join/d936994?utm_medium=ios
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I'm interested in the following dance techniques: *
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Would you like to pay per class or pay monthly?  *
Please indicate your email/phone number for billing purposes. *
What is your first and last name? *
What is today's date?
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How old are you? *
Any modifications or accommodations needed? Please indicate previous injuries or bodily concerns. Please be thorough. If no concerns, please indicate NA *
Would you like to perform in the show? *
Have you danced with FTLOD before? *
Do you have any previous dance experience? *
We will primarily communicate through the Remind app. Have you downloaded the app and joined the class communications link above? This is how you'll receive important information about news/updates/closings/delays in real time. It is also appropriate to send your questions and any two-way communications through here. Please be sure to turn on your notifications.  *
Release of Liability and Disclaimer
I understand that risk of injury is inherent in any physical activity and I, on behalf of myself and my child, knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, herby waive and release For the Love of Dance individually and For the Love of Dance, LLC. and its staff from any and all claims or damages of any kind arising out of my child’s participation in the exercise and/or dance program of For the Love of Dance, LLC. I further certify that the aforementioned student is in proper physical condition to participate in the exercise/dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do herby authorize For the Love of Dance, LLC or her designated agents (being teachers or administrators employed by For the Love of Dance, LLC.) to obtain medical treatment for my said child in emergency situations where I cannot be reached in time to authorize the treating physician to provide such emergency medical services. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make For the Love of Dance, LLC. responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year from the date signed below.

I have read and understood the above Release of Liability and Disclaimer Section of this form. By Signing your First and Last Name Below you agree to the terms and conditions above. You also agree that you will pay using either per class, per week or per month. Cash or invoice accepted.  

Please enter your FIRST/LAST NAME & DATE below. 
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