Students Name *

First Name

Last Name

Parents Phone

(###)

###

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What classes will you be joining us for? *

Monday 5:30-6:30 Ballet/Jazz Combo Class ages 4 to 6

Monday 6:30-7:30 Intro Acro ages 4 to 7

Tuesday 5:00-6:00 Intro Ballet ages 7 to 10

Tuesday 6:00-7:00 Hip Hop ages 7 to 10

Tuesday 8:00-9:00 Ballet ages 11 to 17

Wednesday 5:00-6:00 Contemporary ages 7 to 10

Wednesday 6:00-7:00 Jazz ages 7 to 10

Wednesday 7:00-8:00 Jazz ages 11 to 17

Thursday 5:00-6:00 Acro Level 1 ages 8 to 17

Thursday 6:00-7:00 Hip Hop ages 4 to 6

Saturday 9:00-10:00 Tap Level 1 ages 8 to 16

Saturday 2:30-3:30 Hip Hop ages 11 to 17

Liability Waiver *

My child will be participating in Bring A Friend Week at Dance for Joi Dance Company, LLC. In consideration of the free dance lessons afforded me and my child during Bring A Friend Week, Dance for Joi Dance Company, LLC and the instructors are not liable for personal injuries, loss or damage to personal property. Since this is a physical activity, injuries may occur. I understand that a student may decline participation in any activity which may be personally harmful and the student (or parent/ guardian) accepts responsibility to inform the instructor of any physical limitation which may prevent full participation in class. I understand that any images captured during class time may be used to promote

I Understand