Please read the Sport Science Liability Waiver document linked here and agree to its terms and conditions below. Sport Science Liability Waiver *
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Please read the Professional Medical Environment Policy document linked here and agree to its terms and conditions below. Professional Training Environment Policy *
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Athlete's full name (first and last) *
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Date of Birth *
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DD
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Team Name *
Dance Studio Affiliation
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Email Address *
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Phone Number *
Your answer
Head Dance Coach / Instructor Name
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