Registration Form
Fill out the form carefully for registration
Name
*
First Name
Last Name
E-mail
*
example@example.com
Mobile Number
*
Age
*
I give Messengerz Dance Company permission to take, use and post any photos or videos taken in class. I acknowledge that I will take class and assume all risk and responsibility for myself. I will not hold Messengerz Dance Company liable for any injury, bodily harm or anything else that could happen to my persons in class.
*
Electronic Signature with Fully Typed Name
Submit
Should be Empty: