STL Rhythm Workshop Registration
Thank you for your interest in our first annual Rhythm Workshop!
July 24, 2021

All activities will be located at:
Dance Productions Unlimited
3805 Vogel Rd, Arnold, MO 63010

Masks are required for all activities.
All students should bring a lunch and water bottle.
moSTLy TAP masks will be available for purchase (only $5 each!)

Please complete a separate form for each participant.

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Student Name *
Student Age *
Parent/Guardian Name (if student is under age 18)
Mailing Address: *
Phone: *
Email Address *
Workshop Schedule
Choose Your Workshop or Individual Classes Below: *
Required
Would you like to join our mailing list? *
Participation Waiver
By submitting this form:

1.  I hereby agree to indemnify and hold harmless STL Rhythm Collaborative (STLRC) and its faculty/staff from and against any and all claims for personal injuries or damages of any kind arising from participation in the STLRC program. Furthermore, I authorize STLRC staff and faculty to seek emergency medical help for me and/or my child if this becomes necessary. I agree to indemnify and hold harmless STLRC personnel in seeking medical care for me and/or my child. I realize that every effort will be made by STLRC staff to contact me in the event of a medical emergency involving me/my child.

2.  I give permission for my/my child's image/likeness to be used by STLRC for promotional purposes.

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