Online Registration Form

  • Contact Info

  • Mark the classes being taken by the dancer

    Check each that applies.
  • Participation Agreement

    Authorization of Medical Care: Should my child become ill or injured while at Expressions Dance Centre and I, the parent/guardian cannot be reached, I hereby empower the staff of Expressions Dance Centre to authorize medical care and treatment for the above named student(s). Consent of Participation: I acknowledge and agree that dancing as in any other situation involving physical activity, involves risk of bodily injury including but not limited to those of partial and/or total disability, paralysis and death. There may also be other risks not known to me or that reasonably foreseeable at this time. I acknowledge that these risks and dangers may be caused by the negligence of the students or the negligence of others. I accept and assume such risks and responsibility for the loss and/or damages following such injury, disability, paralysis, or death, however caused or alleged to be caused in whole or in part by the negligence of the student, Expressions Dance Centre, its officers, directors agents and employees, other student instructors,or owners and lessees of the premisis used to conduct the activities. I agree that the consent of participation covers each and every activity and event sponsored by the Expressions Dance Centre. I also confirm that the above named student(s) has no problems health or otherwise that might compromise his/her safe involvement or that of others. I also have read and agreed to all the rules stated in the 2011/2012 brochure. *You are responsibile for watching your children that are in the lobby. All children are not allowed to play on or around the stairway.

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