Take a class on us! 2023-24
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Name *
Phone number
Email address *
Student name *
Student date of birth *
MM
/
DD
/
YYYY
Has your child participated in dance before? 
What style is your child interested in trying out? *
Are you coming for "Bring a Friend to Dance Week"? And if so, who is your child's buddy already enrolled? *
Waiver *must be signed*
  Dance Class Waiver
 TYPE YOUR NAME in the "short answer" text box. By signing your name you are agreeing to the terms. The risk of injury is inherent in dance. Fearless Dance LLC strives to reduce this risk through proper dance training techniques. However, it is understood that some accidents are unavoidable. As the legal parent or guardian of _______________________________, or as the Participant _______________________________, I hereby release and hold harmless Fearless Dance LLC, its agents, members, subcontractors, employees, participants, land owners and volunteers from any and all liability, claims, demands, and causes of action which the undersigned, or any other person ever had or may have against Fearless Dance, LLC (“FD”) for any losses, costs and expenses (including attorney's fees), damages, and/or for injuries, known or unknown, real or personal, sustained by the undersigned or their child while participating in any FD programs, or which occurred on the FD premises or at any other location while the participant was under the supervision of FD, or while in route to or from any of the aforementioned locations. In the event of a serious injury, the undersigned gives permission to Fearless Dance, its owners, and operators to seek medical treatment for the participant if they are unable to reach a parent or guardian. I acknowledge that I MUST DECLARE ANY RELEVANT, PRE-EXISTING PHYSICAL OR MENTAL HEALTH CONCERNS, RESTRICTIONS OR CONDITIONS. I agree that a failure to disclose or the intentional withholding of such information will be considered a declaration by me that the participant is in good physical and mental health. The undersigned also agrees that they will not hold Fearless Dance, LLC responsible for the loss or damage of personal property while in attendance and/or participating in any of these programs.

*
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