Free Trial 2023 - Information & Waiver 
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Parent name *
Email *
Phone number  *
Child name  *
Age of child  *
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What class or classes are you interested in?  *
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Please list all prior dance experience. 
I understand and agree that in participating in any activity there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of Bianca's Dance Company Inc activities. I also exempt and release, Bianca's Dance Company Inc and its owners, employees, assistants, volunteers, guest artists, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in activities conducted by Bianca's Dance Company Inc. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights. *
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