Doc's Family Fun Center
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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
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