Westland Rotary Club presents Hip Hop Kids Dance & Fitness Ages 6-10

Rotary Club presents... Hip Hop Kids Dance & Fitness Ages 6-10

Fall Class Dates to be announced soon. Form may be filled out anytime prior to the start of class TBA.
The Westland Rotary Club is proud to sponsor in full an 8 week dance program for ages 6-10. This class will is completely free of charge for those with financial need. Applicants must proove there is a hardship in the household to be approved. Up to 35 students will be accepted based on need.

The class will be held in the City of Westland site TBA and will be fascilitated by Develope' Dance Project with a professional dance instructor.

Hip Hop Kids is a fun filled class of exercise and dance. We focus on basic hip hop dance steps and exercises with an emphasis on group discipline and structure. all to the beat of the music. This is a great opportunity for students to experience the art of dance, get moving, and have fun in the process.
Parent's/Legal Guardian's Name*

First NameLast Name
Student's Name*

First NameLast Name
Student's Birthday*

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Date
Child's T-shirt size (please specify Child-C or Adult-A as follows (SC, MC, LC, XLC, SA, MA, LA, XLA, 2XLA)*
Address*

Street Address

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Postal / Zip Code
Parent's Email*
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Phone Number*
Please enter a valid phone number.
Tell us about the financial needs in your household. How would this class help your family?*
Please upload documentation proof of financial hardship. This can include a W2 along with an expenses/income spreadsheet or your most recent tax return (SSN may be blacked out). *

Cancelof
I understand that this class is designed for those in financial need for children ages 6-10. I understand that I will be contacted once my application is accepted. I understand that documentation demonstrating hardship is required and no applications will be approved without it. I understand that any dancers under the age of 6 will not be registered in this class.*

Yes
I understand that there is a risk of personal injury with dance classes and performances. I represent that the above named student is in good health and physically capable of participating in dance classes, events, recitals and performances. On behalf of myself (and the above named student if different than the undersigned), I hereby waive and release any claim against Develope' Dance Project, it's directors, The Westland Rotary Club, it's board of directors and volunteers, The Dance Academy GC LLC, its owner, the staff, employees, arising out of personal injury occurring in the connection with classes, performances or recitals. I accept responsibility for obtaining the appropriate accident, health, and hospitalization insurance to cover the student in the event of personal injury. In the event of an injury or other medical emergency, if I cannot be reached, I authorize you to seek any medical assistance reasonably required in your judgment and agree to be responsible for the medical expenses incurred on behalf of the student.I acknowledge and I consent to the taking of photographs during classes and events, and further consent to the use of these photos in the advertisements as well as posting on social media in connection with Develope' Dance Project.
Parent Signature*

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Rotary Club presents... Hip Hop Kids Dance & Fitness Ages 6-10