Dance/Fitness Registrati

Doc's Family Fun Center

Dance and Fitness Registration Form

Dance & Fitness Registration

Name:
Address:
Phone:
Age:
Dance Type	Zumba
	Swing Dance/Salsa
	I would like to receive email updates on classes and events
email:
Emergency Contact Name:
Emergency Contact Phone #:
Relationship:
Medical conditions:
Comments:
Waiver and release:	By submitting this form, I assume all responsibility for my voluntary participation in the selected class. Doc's Family Fun Center, it's officers and employees will in no way be responsible for the risk of any associated injury or accident while participating in any activity. I agree to hold harmless all instructors, other participants, officers and employees from any aned all liability.
	I acknlowledge that I have read and agree to the waiver and release