TA-DAH!
Studio of Dance
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Class selection and payment with a Paypal account maybe done below.
Each student must select and pay a Registration Fee
Registration Form
Student Name Age Date of Birth
Age Date of BirthAddress Town Zip
Town ZipEmail Address Home Phone
Home PhoneCell/emergency number Contact name
Contact namePlease list any accidents, illnesses or physical limitations that would stop or prevent your child from participating in TA-DAH! Studio of dance programs, otherwise, please state “none”. Any information you provide will allow us to individualize instruction for your child. For example, hearing problems, attention disorder, delayed motor skills, etc.
Physical limitations
Allergies
Medications
WAIVER: in consideration of the benefits derived from the TA-DAH! STUDIO OF DANCE, I (we) do hereby agree to indemnify and hold harmless, release and discharge the sponsoring organization of TA-DAH! STUDIO OF DANCE of Westford, Massachusetts, it’s agents, servants, members, instructors, officers or employees, from and against all liability, claims, suits, damages, losses and expenses, including attorney fees, threatened or incurred, including any and all consequential damages claims which I (we) may be entitled to recover from said injury or property damage claim and arising from the child’s participation in any TA-DAH! STUDIO OF DANCE program or while in the act of being transported to and from said activities related to dance or by reason of any injury or damage to said child or to any person or property occurring during said participation, or from any cause whatsoever. I (we) fully realize that activities at TA-DAH! STUDIO OF DANCE can be dangerous and could result in serious injury or possible death and freely assume that risk. I (we) give the above named person permission to participate in program (s) of TA-DAH! STUDIO OF DANCE.
I have read and agree to abide by the agreement, policies and procedures of TA-DAH! STUDIO OF DANCE
_____________________________________________________
Signature of parent or guardian if under 18 years of age Date
DateName of Parent or guardian
