Double Dutch Aerobics Class

Registration Form

Double Dutch Aerobics Charlotte
POP-UP CLASSES

Come join us for a fun and unique workout that incorporates Aerobics and Double Dutch. No experience necessary!

Please note that these pop-up classes are held on different days and locations around Charlotte and surrounding areas.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Which class would you like to attend?
Payment Method - $15 per class
**Your spot is not secured until payment is received.
How did you hear about us?
Participant's Signature
Emergency Contact

First and Last NamePhone Number
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER 18 AT TIME OF REGISTRATION)

This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent/Guardian Contact

First and Last NamePhone Number
Parent/Guardian's Signature
Should be Empty:

Registration Form