Inspired Creations Dance Studio

BRING A FRIEND WEEK!

Please fill out the form below in order to participate in Inspired Creations Dance Studio's Bring A Friend Week.

Participant's Name *

Participant's Age *

Invited by:

Parent/Guardian *

Email *

Phone *

Emergency Contact #1 *

Phone *

Relationship to dancer *

Emergency Contact #2

Phone

Relationship to dancer

I HAVE READ THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Liability Waiver

I, the undersigned participant/legal guardian, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will. *

I agree

Signature *

Clear