SPECIAL EVENT REGISTRATION

FILL OUT THE FORM BELOW TO REGISTER FOR YOUR SPECIAL EVENT!

Participant Full Name

Age Range of Participant

Age 7-11

Age 12-17

Parent/Guardian Full Name

Phone

Email

Special Event for Registration

JAZZ Masterclass DEMI MEMBER $25

JAZZ Masterclass NON-DEMI MEMBER $35

WAIVERS

I hereby give my permission for my participant(s) to participate in The Demi Dance Academy Masterclass. I hereby waive and release TDDA owners, and facility owners from any liability for injury or illness incurred at this event.

Yes

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I hereby give my permission for my participant(s) to be photographed for promotional purposes (social media postings, website graphics, etc.)

Yes

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