Heels Class Registration

Heels Class

Studio 58 - 58 Grant St, Alexandra - 7pm Monday 2nd June - Monday 7th July
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact Name

First NameLast Name
Level of Dance Experience
Medical Conditions or Allergies
How did you hear about this event?

Other
Social Media - I grant permission for the organisers of Dare 2 Dance - Heels Class to use photographs, videos, or other media taken during class for promotional purposes on social media platforms and other marketing materials. I understand that my name will not be associated with any such materials unless I give explicit consent for it to be used.
Terms and Conditions:

By submitting this form, I indicate that I have read, understood, and agree to the terms and conditions outlined in this public liability clause

I acknowledge that participation in dance classes involves physical activity and I hereby release the dance studio and its instructors from any liability for injuries or accidents that may occur during classes or events.

I understand and acknowledge that participation in the dance class involves physical activity and carries certain inherent risks. I agree to release, waive, discharge, and hold harmless the organisers, instructors, and any affiliated individuals or organisations from any liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me during the course of participation in the heels dance class. I acknowledge that while the organisers will take reasonable precautions to ensure my safety, accidents or injuries may occur.
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