Register for Classes

Child's Name

First Name

Last Name

Daycare/Preschool of Attendance/Park and Recreation Location

Child's Age

Parent Name (1)

First Name

Last Name

Parent Name (2)

First Name

Last Name

Email Address

Phone

(###)

###

####

Waiver of Liability: This agreement releases Daytime Dancers LLC from all liability relating to injuries that may occur during dance class. By signing this agreement, I agree to hold Daytime Dancers LLC entirely free from any liability, including financial responsibility for injuries incurred.

Signature & Date

Photo Release

I, the parent of the child named above, give Daytime Dancers permission to post photographs/videos of my child on the Daytime Dancers website and/or Daytime Dancers Facebook page.

Yes