Kids Creative Movement Classes - trial 2024

Kids Creative Movement Class - FREE trial - Registration Form

2024 kids class trials November 4 & 11 2024 with Dancenorth
Name of Child:*

First NameLast Name
Date of birth:*

MonthDayYear
Date
Which sessions will your child be attending:*

4/11/2024 3.30pm - 4.15pm for 4 - 6 year olds4/11/2024 4.30pm - 5.30pm for 7 - 12 year olds11/11/2024 3.30pm - 4.15pm for 4 - 6 year olds11/11/2024 4.30pm - 5.30pm for 7 - 12 year olds
Does your child have any access requirements?
Please list anything that might make the experience more accessible for your child
Name of parent / guardian:*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
I hereby give my consent for Dancenorth to record, copy, edit, adapt, modify, distribute or exhibit my child's image, likeness, voice and/or transcript, in whole or in part, in any form or media, and including the right to sublicense these rights for educational and promotional/publicity purposes for an undefined period of time. I understand that I will not receive any payment or consideration in signing this Release.*

YesNo
ACKNOWLEDGEMENT OF PARTICIPATION *

By submitting this application, you agree to the following guidelines:

Dancenorth takes all reasonable care in the conduct of its classes and workshops.

Dancenorth accepts no responsibility for injury or loss caused during classes and workshops.

I understand that components of Dancenorth’s Kids Creative Movement Classes will be physically demanding and may involve a risk of injury. I take responsibility for ensuring that my child is physically and mentally fit for the class and during the class I must at all times take care of my child's personal safety.

I hereby acknowledge that I am aware of and accept this risk and I agree to follow all safety instructions and ask questions if I do not understand or require clarification. I understand that I must assume the risk of injury or disability that could result from participation in classes as part of the Dancenorth’s Kids Creative Movement Classes.
Please sign to consent to the classes conditions:*

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Kids Creative Movement Class - FREE trial - Registration Form