Registration Form - New Dance Angle, 109 Fairmont Avenue, Fairmont, WV, (304) 657-7850
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Parent/Guardian Name: |
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Address: |
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Phone number: |
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Alternate phone number: |
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Email address: |
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Class(es) desired:
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Date of Birth: |
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Amount enclosed: |
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Medical concerns: |
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Emergency contact name; Phone number: |
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New Dance Angle advises that dance is a strenuous physical activity that involves the risk of injury. Dancers should be in good physical health or have consulted with a physician before beginning a dance program. By registering with New Dance Angle, all claims to injury or accident by the dance student or parent and dance student are waived.
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