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Participant Information
First Name
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Last Name
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Current Class/Program
Birth Date
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Registered by:
First Name
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Last Name
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Relationship to Participant:
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Self
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Address 1
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Address 2
City
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State
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Zip
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Phone
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Email Address
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Choose your program(s)
2022-2023 Eagle Dance Fall/Winter & Winter/Spring Sessions
All payments are non refundable.
Twinkle Toes - Tuesdays 5:30pm
EDA - Twinkle Toes Session 1 Tuesdays 9/13-10/18 $90
EDA - Twinkle Toes Session 2 Tuesdays 10/25-12/6 $90
EDA - Twinkle Toes Session 3 Tuesdays 1/10-5/16 $250
Youth Ballet 1 & Tap Mondays 6pm
EDA - Youth Ballet 1/Tap Mondays Session 1 9/12-10/17 $90
EDA - Youth Ballet 1/Tap Mondays Session 2 10/24-12/12 $90
EDA - Youth Ballet 1/Tap Mondays Session 3 1/9-5/15 $250
Youth Ballet 2/Lyrical Mondays at 7pm
EDA - Youth Ballet 2/Lyrical Session 1 9/12-10/17 $90
EDA - Youth Ballet 2/Lyrical Session 2 10/24-12/12 $90
EDA - Youth Ballet 2/Lyrical Session 3 1/9-5/15 $250
Youth Hip Hop N Funk - Tuesdays 6:15pm
EDA - Youth Hip Hop N Funk Session 1 - Tuesdays 9/13-10/18 $90
EDA - Youth Hip Hop N Funk Session 2 - Tuesdays 10/25-12/6 $90
EDA - Youth Hip Hop N Funk Session 3- Tuesdays 1/10-5/16 $250
Beginner Adult Ballet - Mondays at 8pm
EDA Beginner Adult Ballet Mondays Session 1 9/12-10/17 $90
EDA Beginner Adult Ballet Mondays Session 2 10/24-12/12 $90 $90
EDA Beginner Adult Ballet Mondays Session 3 1/9-5/15 $200
Teen/Adult Tap - Tuesdays at 7:15pm
EDA - Teen/Adult Tap Session 1 9/13-10/18 $90
EDA - Teen/Adult Tap Session 2 10/25-12/6 $90
EDA - Teen/Adult Tap Session 3 1/10-5/16 $200
Adult Hip Hop - Tuesdays at 8:15pm
EDA - Adult Hip Hop Tuesdays Session 1 9/13-10/18 $90
EDA - Adult Hip Hop Tuesdays Session 2 10/25-12/6 $90
EDA - Adult Hip Hop Tuesdays Session 3 1/10-5/16 $200
In consideration of being allowed to participate in any way in the skills program, related events and activities of Power Play/JMG Rink Management, I the undersigned, acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I knowingly and freely assume all such risks, both known and unknown and unknown of my participate in Power Play/JMG Rink Management, even if arising from the negligence of the releases or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms for participation in Power Play/JMG Rink Management. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, Hereby release, indemnify, and hold harmless the Power Play/JMG Rink Management, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releases”), with respect to any and all injury, disability, death, or loss or damage to person or property Whether arising from the negligence of the releases or otherwise, to the fullest extent permitted by law. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
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