Remarkable Trial Class at Expressions
Please complete this form to reserve your child's spot in one of our trial classes on Friday, September 15th. Parents are welcomed and encouraged to attend the class with their child depending on the child's needs.
Email *
Parent First & Last Name *
Parent Contact Number *
Child First & Last Name *
Age of Child *
Please choose a class below: *
Required
Please share your child's unique abilities! *
PLEASE READ AND CHECK THAT YOU UNDERSTAND AND AGREE TO THE FOLLOWING CONDITIONS:

WAIVER OF LIABILITY STATEMENT AND PERMISSION TO TREAT

I, the parent or legal guardian of the student(s) listed above, hereby give approval of the student's participation in any and all Expressions Dance Theatre (EDT) and/or Expressions Children's Theater (ECT) programs and activities. I do waive, release, absolve, indemnify, and agree to hold harmless the organizers, sponsors, supervisors, participants, and persons involved in the operation of EDT/ECT programs for any claims arising out of injury or other loss to named student or any member of his/her family whether as a participant in the activities or as a spectator.

I will also authorize EDT and its owners, employees, directors, etc. to use standard first aid procedures on the above listed student(s) and consent to any other medical treatment necessary in case of an emergency.  Additionally, I certify that I personally and/or my medical insurance carrier will be responsible for all expenses which are incurred in relation to any injury sustained during any EDT/ECT related activity. *
Required
A copy of your responses will be emailed to .
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