2024 Summer Camp/Class Registration
* Multi-class and Multi-student registration discounts available.
* Registrations must be received no less than 1 week prior to class/camp.
* Minimum registration of 5 dancers required to hold camp/class.

*Payment sent via mail to our Business office, via Paypal, or via Venmo-- contact for other arrangements.
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Adresse e-mail *
Student Name (first and last) *
Age of dancer *
Birthdate of the dancer *
JJ
/
MM
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Grade entering in Fall 2024 *
Parent/Guardian Name(s) *
Mailing address (please include street address with city) *
Contact Number (home and cell phone, please) *
Allergies/Other Special needs *
Emergency Contact- Name, relationship to student, phone number *
SESSION 1 (June 10, 17 & 24, 2024)
SESSION 2 (July 8, 15, 22, 2024) 
Mini Camp Options-- Preschool (Age 3-7)
Mini Camp Options-- School Age (Ages 7-12)
-- We, the undersigned parents and/or guardians of the student named above, a minor, upon signing this agreement do hereby acknowledge that the activities that I have requested my daughter/son participate in may be stressful on the body and carry with them the risk of physical injury. On  behalf of my child and her/his parents and/or legal guardians, I assume the risk and agree that the Movement Unlimited Dance Studio, Heather Onderko, Directors, Faculty, assistants and any of the chaperones and agents shall not be liable in any way for any injuries sustained or loss of property during attendance at the dance studios, any of its related functions, as a participant or an observer on or off the premises.     --We understand that Movement Unlimited from time to time, produces promotional material about its programs. We understand that as a participant the above mentioned minor may be included in video or photographs taken at the studio or a performance venue. We hereby grant to Movement Unlimited, its successors, assignees, licensees, sponsors, and all other commercial exhibitors, the right to photograph and or video the above mentioned minor and further utilize the above mentioned minor’s face, likeness and  appearance, as part of the program, and in advertising and promoting the program, without reservation or limitation. In granting this license, I understand that Movement Unlimited is under no obligation to exercise any of its rights, licenses and privileges herein granted by the participant.     -- I understand that ALL summer tuition fees are non-refundable and non-transferable except in the case of cancellation by Movement Unlimited Dance Studio and that tuition must be paid prior to participation in the camp or class.  It is also understood that if tuition is not paid for at the time of registration that a spot may not be held for the studio in the case that the class reaches capacity.  --My child has permission to receive any necessary emergency medical care. Students must​ be covered by their own family health insurance. It is understood that the student’s own health insurance policy will be the only source for payment for any medical services, out of pocket expenses, and pain and suffering that may  be incurred or result from treatment due to the injury.     --By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending classes at Movement Unlimited despite best practices and precautions being implemented and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Movement Unlimited may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Movement Unlimited instructors and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Movement Unlimited (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Movement Unlimited, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Movement Unlimited, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Movement Unlimited classes.     *
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