Dance Studio Participation Release Form
Please fill out this form to participate in our dance studio activities. Your safety and consent are important to us.
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.
Format: (000) 000-0000.
Do you have any medical conditions or allergies we should be aware of?
Signature of Participant or Parent/Guardian
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: