DPAZ @ Studio Z

DPAZ @ Studio Z

Studio Z: 9153 E Bell Rd, Scottsdale, AZ 85260
☀️ Happy Summer from Dance Party AZ! 💖 We are so excited to dance with your family this season! Please complete the safety waiver & consent form below before participating in any DPAZ events, classes, camps, clinics, or parties.✨ Below find our current Dance Party AZ services, upcoming event dates, camps, clinics, private lessons, and special experiences available for purchase directly through this form. Spots are limited. Once payment is received, your registration is confirmed! 🎉 Questions? 📞 Miss Angel: 602-425-8166 📧 dancepartyaz1@gmail.com Let’s build ConfiDANCE together this summer! 💃🪩✨

DPAZ is offering a raffle. Any purchases made on and prior to June 1st (Studio Z Recital Day) will receive raffle tickets with your purchase for a chance to WIN DPAZ experiences. Raffle tickets can also be purchased below. We will draw 5 winners on June 1st. Additionally, this summer if you refer 2 BFF's who register, you'll receive a FREE 30 min private lesson!
Dancer's Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Parent/Guardian Information
Name

First NameLast Name
Primary Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Does the athlete have any allergies, chronic illness, or medical conditions? Or need an inhaler? If yes, please describe. Please no peanut products for snacks!
How did you hear about us? Who can we thank for your referral? xo
INFORMED CONSENT AND WAIVER OF LIABILITY

References to parents/children visiting/renting at Studio Z Performing Arts Center for leisure activities/celebrations. I hereby knowingly and voluntarily assume all risk inherent in my participation at the event held at Studio Z Performing Arts Center including the risk of injury, accident, illness, death, loss, cost, or damage to my person or property. I also hereby release and indemnify Studio Z Performing Arts Center, Dance Party AZ and its Instructors and any other participant in event/class from and against any and all claims and liabilities, including attorneys’ fees, in any way resulting from or relating to my participation.

I further attest that I am in good physical health, and/or that I have consulted with a physician and I am able to undertake and engage in the physical movements and actions taught in the Event. I assume all responsibility for any medical conditions, or changes in medical conditions, that might affect my safety or participation in the Event.

Additionally, I understand that these events/classes may be recorded and/or photographed, and I consent to Studio Z Performing Arts Center and Dance Party AZ using these recordings and/or photographs in promotions that include, but are not limited to, social media and marketing.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

DPAZ Products

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DPAZ @ Studio Z

DPAZ Products

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