WXD Valentines Event Registration!
Event Address & Time: 404 Travis Ln #37-38, Waukesha, WI 53189 ; February 11th 
Contact us at wxdtdance@gmail.com with any concerns/questions!

If you are enrolling more than one participant, please fill out a form for each!

Sign in to Google to save your progress. Learn more
Email *
Parent or Guardian Name  *
Participant First Name  *
Participant Last Name *
Dancers Age *
What school does the participant attend? *
Are you a current WXD dancer? *
Is there anything we should know about your participant? 
Are you interested in receiving team information for the 23-24' season? *
I understand that I will have to pay upon arrival via cash or check (written out to Waukesha Xtreme Dance Team)!

$20/Participant
*
Required

ACKNOWLEDGMENT AND ASSUMPTION OF RISK OF INJURY TO CHILDREN. I understand and agree that there are risks of significant injury to the Children, whether caused by the Children or someone else, in their use of or presence of the Waukesha Xtreme Dance Team. I understand and agree that these risks of injury include, but are not limited to, slips, trips, falls, collisions, thefts, or other such accidents or incidents that may result in injury, harm or damage including, but not limited to, economic, property, emotional, mental, physical or any other type of damage including, but not limited to, sprains, torn muscles or ligaments, broken bones, stroke, heart stress, heart attack, paralysis, disfigurement, death, or other forms of pain or suffering. On my own behalf, and on behalf of the minor Child above, I fully understand, voluntarily accept, or specifically assume these risks of injury to the children.

By checking 'I Agree", I certify that I have thoroughly ready, fully understand, and voluntarily accept and agree to its terms

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy