Rubíes Dance Academy Applications
An academy boosting self esteem, confidence and health through dance.

** Minors must be accompanied by chaperone or guardian;
** No chaperone or guardian needed for 18+
** For Women Ages 10 and Up
Genres Taught:

To learn more about the program: https://www.firstladiesofpovertyfoundation.org/rubiesdanceacademy.html
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Founder, Belly Dance Performance at Amherst College
Participant Waiver Form
Every participant is required to complete the below release form prior to participation in any Exercise in Disguise class or event.  Signing below will also authorize Exercise in Disguise Fitness to add you to their E-mail list and you are free to unsubscribe at anytime.

You only need to complete this release once – We will keep a file with all completed release forms on hand. Thank You!!!
*** Rubíes Dance Academy Participant Waiver *** Please read and check each box. *
Required
By signing below, you are certifying that you are in good health and have consulted a doctor before beginning this or any other exercise program hosted or provided by First Ladies of Poverty Foundation.
Signature (Your Full Name) : *
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