Dance/Fitness Registrati

Doc's Family Fun Center

Dance and Fitness Registration Form

Doc's Online Registration

Please complete all fields --comments are optional

SUCCESSFUL SUBMISSION WILL REDIRECT YOU TO THE HOME PAGE

Activity	ZumbaYouth SoccerYouth Hockey
Name:
Address:
Phone #:
Age:
email:
Emergency Contact Name:
Emergency Contact Phone #:
Relationship:
Medical Consitions
Comments
Waiver and Release	By submitting this form, I assume all responsibility for my/my child's voluntary participation in the selected activity. 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 and all liability.