Dance Class Sign Up

Dance Class Sign Up

Register for the pop up dance class and complete the required waiver.
Please select the class you are signing up for:
Please verify your age:

I am over 18 years oldI am over 16 years old and have a parent/legal gaurdian's signature present on this waiver
Participant Full Name*

First NameLast Name
Date

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Waiver and Release of LiabilityBy signing below, I acknowledge that participation in the this class involves physical activity and carries inherent risks. I release the organizers and venue from liability for any injury or loss that may occur during the event. I confirm that I am physically able to participate and agree to follow all instructions for safety.
Participant Signature (If under 18, waiver must be signed by a parent/legal guardian)*
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Pop Up Dance Class
$10.00 Quantity

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$0.00
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Fastlane Checkout

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