Community Dance Class 2023-2024 Registration

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NOTE: Registration is not complete until payment is received. If you have questions or concerns about your registration, please send an email to Courtney Wadman at cwadman@njuhsd.com. Thank you!

Email *

Select your class(es) for registration: *

Intermediate/Advanced Hip Hop (Ages 12+): Mondays 5:00-6:15pm

Intermediate/Advanced Jazz Fusion (Ages 12+): Mondays 6:15-7:30pm

Intermediate Modern (Ages 12+): Wednesdays 5:30-6:45pm

Advanced Modern (Ages 14+): Thursdays 5:00-6:30pm

Youth Dance Fusion (Ages 8-13): Fridays 4:00-5:30pm

Required

Student's First and Last Name *

Student's Grade in School (if under 18 years old)

Parent's Name (if student is under 18)

Phone Number (include area code) *

Emergency Contact Name *

Emergency Contact Phone Number *

Please list any physical/health/special needs that might impact participation in dance classes:

WAIVER OF LIABILITY

I hereby voluntarily release, discharge, waive and relinquish any and all actions or causes of action for personal injury, property damage or wrongful death that I, my heirs, executors or assigns may have against Nevada Joint Union High School District (NJUHSD), their officers, agents and employees, arising out of my participation in the Dance Program, wherever or however it may occur. Under no circumstances will I, or my heirs, executors, administrators or assigns, present any claim or bring any suit for personal injury, property damage or wrongful death against NJUHSD, their officers, agents or employees, for any such injury, property damage or wrongful death, regardless of whether it arises from negligence. IT IS MY INTENTION BY SIGNING THIS DOCUMENT TO EXEMPT AND RELIEVE NJUHSD, THEIR OFFICERS, AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE.
I acknowledge that I have read this entire Waiver of
Liability, that I am aware of the potential dangers of participating in the Dance Program, and that I am fully aware of the legal consequences of signing this
document, including releasing NJUHSD, their officers, agents and employees from all liability, promising not to sue any of the aforementioned people and entities, and assuming all risks of participating in the Dance
Program. I understand that this document is written to be as broad and inclusive as legally permitted by California law. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by its remaining terms.
*

I have read, understood, and freely consent to the foregoing Waiver of Liability

Required

PHOTO/VIDEO WAIVER

The Nevada Union High School Theatrical Dance program has a website (www.nevadauniondance.com), as well as social media accounts on facebook and Instagram: Nevada Union Dance. The purpose of these Internet accounts is to post information to the public about events, auditions, and performances, as well as to sell tickets to our shows and publish information about post-secondary dance opportunities. This waiver is intended to give permission for the NU Dance program to publish photos and video clips that may include your (or your student’s) image and/or name. If you do not approve of a particular picture and/or video clip, you reserve the right to have it removed from the Internet. Please contact me at cwadman@njuhsd.com if you have any questions or concerns.

I ALLOW Nevada Union High School Theatrical Dance and associated photographers to include my child’s image and/or name in pictures and/or video clips posted on the Dance Department’s website and related social media accounts. If I do not approve of a particular picture and/or video clip, I reserve the right to have it removed from the Internet.

Required

Signature (Type your full name): *

Today's Date: *

YYYY

Send me a copy of my responses.

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