Skyline's Broadway Dance Workshop Registration
Event Timing: Monday, July 12th at 1-5PM ET
Event Address:
The George Frey Center for Arts in Recreation at the Fair Lawn Community Center
10-10 20th Street (20th and Kipp St)
Fair Lawn, NJ  07410
Contact our Event Directors: skylinedevelopmentinfo@gmail.com + jillianpetrie@gmail.com 
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Participant's Name (Last, First) *
Participant's DOB (xx/xx/xxxx) *
Participant's Email (if same as guardian's write "N/A") *
Guardian's Name (Last, First) *
Guardian's Email *
Guardian's Mailing Address *
Guardian's Phone Number *
Emergency contact information: Name, Phone Number, Relationship to Participant *
Please provide any health information we should know about the workshop participant (i.e. allergies, injuries, etc.)
Previous dance experience (if any)
I understand that I will have to pay upon registration in order to reserve a spot in the Broadway workshop. *
Required
By checking the "yes" box, the workshop participant and their legal guardian both legally sign our media release form. By checking the "no" box, the workshop participant and their legal guardian choose not to be in any media from the event. (Form: https://bit.ly/3wLo0KX) *
Required
By checking this box the workshop participant and their legal guardian both agree to read and follow our Covid protocol. This will be emailed to the guardian's email address the week of our Broadway workshop. *
Required
By checking this box the workshop participant and their legal guardian legally both sign our health and safety waiver. (https://drive.google.com/file/d/1YTecL9x9Y_flhIMJZlaEoiTIMYGnZQhi/view?usp=sharing) *
Required
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