Dad's Name *

First Name

Last Name

Phone *

(###)

###

####

Dancer's Date of Birth *

MM

DD

YYYY

Dancer's Date of Birth

MM

DD

YYYY

Dancer's Date of Birth

MM

DD

YYYY

Release of Liability *

I HEREBY WAIVE, RELEASE, AND DISCHARGE Step By Step Dance, Lilack Inc., Ryane Jollon, employees, agents or independent contractors (“Representatives”)from any and all claims which may arise due to an injury, ailment, death, disability, property damage, or illness directly or indirectly related to my, or my child(ren), participating in the activities of Step By Step Dance, including without limitation, those caused by epidemics, pandemics, accidents, third party criminal acts, natural disasters and/or acts of God. I HEREBY AGREE TO INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE Step by Step Dance and its Representatives, and release them from any and all liabilities or claims made as a result of participation in these classes and related events, whether caused by the negligence of release or otherwise. I acknowledge that neither Step By Step Dance, nor its owners, employees, agents and independent contractors are licensed medical practitioners. In the event of a medical emergency, every effort will be made to reach parents immediately. If unable to reach you, this authorizes Step By Step Dance to call 911. I intend for this agreement to bind me, my child(ren), and our assigns, estate, heirs and personal representatives. I have carefully read the above Release of Liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

I agree

Attendance Agreement *

I understand that both dad and dancer must attend all mandatory rehearsal on the following dates: Friday May 31st from 6:30-7:30 pm, Sunday June 2nd from 4:30-5:30 pm, Friday June 7th from 6:30-7:30 pm, and Friday June 14th from 6:30-7:30 pm. I understand that both Dad and Dancer must also be in attendance at the Staging Run Through on Saturday, June 15th, and the Recital on Saturday June 15th at the 2:00 pm show and the 7:00 pm show.

I agree

Costume Agreement *

I understand that we will be responsible for providing the required attire for the performance of the DAD'S DANCE on June 15th according to guidelines/details that will be provided by SBSD on or before the first rehearsal.

I agree

Payment Authorization *

I understand that SBSD will charge my credit card/debit card on file (through Dance Studio Pro) for the total fees associated with participating in the Dad's Dance.

I agree