Language
English (US)
COVID-19 Liability Release Form
A mandatory waiver for all Tau Dance Theater participants attending a class, rehearsal, or a special event. We kindly ask for your patience and cooperation during this pandemic.
Participant Name
*
First Name
Last Name
I am:
*
a student
a teacher
a volunteer
Other
Date of Birth
*
-
Month
-
Day
Year
Name(s) of Parent(s)/Legal Guardian
If participant is under 18 years old
Email Address
*
example@example.com; if you are a minor provide your parent/guardian's email
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number
*
Please enter a valid phone number.
Name of Emergency Contact & Relation to Participant
*
Full Name/Relation
Signature
*
Clear
Date form is completed
*
-
Month
-
Day
Year
Date
Please verify that you are human
*
Submit
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