• Adult Workshop Registration Form

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            Select Your Class Quantity
            Wednesdays, October 7-28 | 11:30-12:30pm
            Wednesdays, November 4-25 | 11:30-12:30pm
            Wednesdays, February 3-24 | 11:30-12:30pm
            Wednesdays, March 3-24 | 11:30-12:30pm
            Wednesdays, April 7-28 | 11:30-12:30pm
            Wednesdays, June 2-23 | 11:30-12:30pm

            Select Your Class Quantity
            Fridays | October 2-23 | 6:30-7:30pm

            Select Your Class Quantity
            Thriller | Friday, October 30 | 7:00-8:30pm
            Britney | Friday, January 1 | 7:00-8:30pm
            Sabrina Carpenter | Friday, March 19 | 7:00-8:30pm
            Boy Band | Friday, May 21 | 7:00-8:30pm

            Select Your Class Quantity
            Mondays | February 1-22 | 6:30-7:30pm
            Tuesdays | July 6-27 | 6:15-7:15pm


            Total $0.00$0.00

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          • NPD collects basic demographic information for federal grant purposes only. This information will be kept anonymous and confidential.
          • Signature*
          • LIABILITY RELEASE: I hereby release Northern Plains Dance or Ballet (NPD) and its agents and employees from all liability for personal injury, illness (including exposure, infection and/or spread of COVID-19) or property damage occurring on or off premises used, rented, leased, or owned by NPD. I certify that I am in good health and capable of participation in all activities and classes. I understand that NPD will not provide alcoholic beverages to me, and that in order to consume alcohol(BYO events only), I must present a valid photo identification upon entering the premesis.

            MEDICAL RELEASE: In an emergency, I authorize NPD, its employees and agents, in the event that I cannot be reached by telephone at the number(s) listed above, to transport and admit my child or myself to a local hospital for the purpose of emergency medical treatment. I release NPD, its employees and agents, from any liability incurred for the transportation and admission of myself or my child to a local hospital for emergency treatment.

            PHOTOGRAPHY RELEASE: I hereby give permission to NPD to take photographs and/or videos of me or my child that will become permanently property of NPD. I consent to the use of such materials for promotional purposes by NPD.

            I HAVE READ THIS ENTIRE RELEASE, I FULLY UNDERSTAND IT, AND AGREE TO BE LEGALLY BOUND BY IT.

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