Elizabeth's Dance Expressions
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* Dancer's Name
* Gender
* Parent's Name
Address
* City
* State/Zip
* Home Phone
(including area code)
* Work Phone
(including area code)
Cell Phone
(including area code)
* Active Email Address
* Age
* Birth Date
* Years of Dance
* Years at EDE completed
* Grade
If new student, who were you recommended by?
* Person to notify in case of emergency
* Emergency Phone Number
(including area code)
* Please list any health complications the studio should know about
Classes Interested In



























*Required Fields
Waiver & Release


I understand that the purpose of Elizabeth's Dance Expressions (hereafter known as EDE) is to provide class and performing experience and opportunities in various forms of dance and that dance activities may involve classes, dance workshops and competition by this dancer as a participant. Photographs, taping or filing of participants by any and all EDE staff members or persons hired by EDE become by sole property of EDE and may be used for future publicity by EDE. No video cameras will be permitted during recitals at any time. I hereby waive all claims for injury, damage or loss to my child, myself or my property during participation with EDE and release the directors, instructors, assistant teachers and all other employees of EDE from any liability for injury, damage or loss which may be caused by any act or omission of any of them.







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