Please add the student's cell number if they have their own phone in the event the instructor needs to make contact with them directly. Please remember to include the area code.

Please note that ALL classes meet twice per week for 1hr each and are for youth 6yr and older (except the Tiny Tumblers class).

This clinic is optional for any students registered for the summer and interested in staying 30min - 1hr following the Tuesday class each week (of their session(s)) to learn how to jump Double Dutch.  (Location: Back of TPC parking lot.)

Please choose yes if your child has asthma, allergies, seizures or any other health condition that may impact their ability to participate to any extent. Note that pre-existing health conditions may not necessarily prevent your child from participating; however, it may warrant further conversation or a medical release for them to participate.

Please list someone OTHER THAN YOURSELF. This person may be contacted in the event we are not able to make contact with a parent/guardian.

Please include first and last name(s).

Please provide a cell phone number that can accept text messaging. Text message rates may apply from your carrier.

I hereby grant permission for Trinity Prep Center, LLC (staff, owners, or trusted affiliates) to video/photograph my student's image, likeness, or depiction during physical activities or other activities/events sponsored by Trinity Prep Center, LLC. I further allow any editing of said videos/photographs and waive any right to inspect the final product. Additionally, I understand that the videos/photographs may be used for worldwide educational and promotional purposes and waive any claim for compensation of any kind for Trinity Prep Center, LLC's use or publication of said videos/photographs of me and/or my student, if applicable. I hereby fully and forever discharge and release Trinity Prep Center, LLC from any claim for damages of any kind arising out of the use or publication of said videos/photographs. I understand my permission is irrevocable. I acknowledge I am over that age of 18, have read and understand this document in its entirety, and am knowingly and voluntarily accepting this agreement on behalf of myself and my student. Terms, Conditions, Releases, and Authorizations are subject to change without prior notice.

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, hereby waive and release the staff and owners of TRINITY PREP CENTER LLC from any and all claims or damages of any kind arising out of my child’s participation in the exercise and/or dance program. I, the undersigned, do hereby authorize TRINITY PREP CENTER LLC agents (being 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 TRINITY PREP CENTER 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 of this signed registration form. I, the undersigned, acknowledge and accept all responsibility of damages to the equipment and/or facility incurred by myself or my child at any point in time.

I release TRINITY PREP CENTER LLC, it’s instructors, independent contractors, and all other associates from liability for harm, theft, or injury that may be suffered by me and/or members of my family traveling to or from or during participation in activities and programs sponsored by TRINITY PREP CENTER LLC. I hereby acknowledge that I am voluntarily assuming full responsibility for all risks of physical injury arising out of active participation in a dance class or other dance related activities. I acknowledge the contagious nature of COVID-19 (and other infectious/contagious diseases or viruses) and voluntary assume the risk that I may be exposed to or infected by COVID-19 by attending and participating 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 (and other infectious/contagious diseases or viruses) may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, independent contractors, volunteers, and program participants and their families. I release TRINITY PREP CENTER LLC its instructors, independent contractors and all associates from liability for harm, injury or death pertaining to COVID-19 (and other infectious/contagious diseases or viruses).  I understand and agree to TRINITY PREP CENTER LLC policies and procedures. I understand that I must sign this release before attending class. I understand that MASK wearing and hand sanitizing are required to participate

 I understand this information can be found on TPC's website at www.trinityprepcenter.com and I can ask for any clarifications by contacting TPC at 269-430-3171.

I acknowledge I am at least 18 years of age, have read and understand this document in its entirety, and am knowingly and voluntarily accepting this agreement on behalf of myself. I understand that Terms, Conditions, Releases, Waivers, and Authorizations are subject to change without prior notice and it is my responsibility to educate myself on any updates by reviewing the website www.trinityprepcenter.com.