Adult Form | precisiondance

Adult Class Form
Session #2- January 6th to February 24th, 2023

First and Last Name

Date of Birth

Phone

Health Card Number

CLASS FEE $ 100.00

Choose Payment Method:

- Please make cheques payable to Precision Dance Association.

- E-transfers sent to precisiondancepayment@gmail.com

(Security answer: dance2022 )

WAIVERS

INSURANCE WAIVER I hereby release all rights and claims for damages against Precision Dance Association in the event of any injury resulting from dance class or any dance-related activities.

PHOTO RELEASE WAIVER I hereby consent to have photographs or video of the above named dancer, taken by Precision Dance Association (PDA) or by a sub-contractor hired by PDA. This would include recital DVD’s, etc. I also consent to the use of these photographs or videos on our website or in other advertising /print material produced by PDA. I acknowledge that no payments or other considerations in any form will be due to myself, my child, heirs, or agents at any time due to use of such images.

I hereby give my consent to the terms as they have been written. By clicking this box I am providing my consent via electronic signature.

Thank you for registering with PDA! Your registration and waiver form has been successfully submitted! If you have any questions please contact us via email at: precisiondanceinfo@gmail.com

Adult Class Form Session #2- January 6th to February 24th, 2023

WAIVERS

Adult Class Form
Session #2- January 6th to February 24th, 2023