Dance Class Participation Consent Form
Please fill out this form to provide your consent for participation in the dance class.
Participant's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Parent/Guardian Full Name (if participant is under 18)
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Do you have any medical conditions or allergies we should be aware of?
Signature of Participant or Parent/Guardian
Date of Signature
-
Month
-
Day
Year
Date
Submit
Should be Empty: