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  • Registration Form

    Thank you for registering for our Community Workshop to benefit Foodlink of Rochester. Fill out the form carefully for registration for yourself or your child. If you are registering more than one person please complete this form again for each additional participant.
  • Liability Waiver

    * I/we realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and/or parent/guardian) assume all risks related to the use of any and all spaces used by Stage Presence Dance. 
  • * I/we agree to release and hold harmless Stage Presence Dance including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Stage Presence Dance liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes.
  • * Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Stage Presence.
  • * I understand that Stage Presence Dance is a licensed and insured business. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Owner, Director, Instructor or Staff member as soon as possible
  • Photo/Video Release: I understand that Stage Presence may take photos and videos of myself or my child for future promotions of programs and events. 
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  • Thank you for registering for our Donation Based community workshop to support Foodlink. We are offering a sliding scale payment option ($5-$25) to allow more folks to be able to participate in this cause. All proceeds from registration fees will be donated to Foodlink to support feeding local families in need. Please pay what you can to participate in this event by selecting the donation rate below that works for you. Registration rates start as low as $5. 

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    $5 Donation  Product Image
    $5 Donation
    $5.00
      
    $10 Donation Product Image
    $10 Donation
    $10.00
      
    $15 Donation Product Image
    $15 Donation
    $15.00
      
    $20 Donation Product Image
    $20 Donation
    $20.00
      
    $25 Donation Product Image
    $25 Donation
    $25.00
      
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    Total
    $0.00
  • Choose from one of the PayPal options to make your payment.

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