|Wednesday 10:30 am
We recommend registering before coming in for class.
Fill out and submit the form below.
|Please make your payment via the Pay Pal button below and then click the submit button to submit registration. Thank you
I understand that my (my child’s ) participation is voluntary, and I agree that Coast City Ballet-Pacific Dance Center their past, present and future
officers, employees, contract teachers, agents, representatives, successors assigns, insurers are not liable for any harm, bodily injury, or damage
classes/event, and authorize Coast City Ballet-Pacific Dance Center, its assigns and transferees to copyright, use and publish the same in print
and/or electronically. I agree that Coast City Ballet-Pacific Dance Center may use such photographs and videos of me (my child) with or without
my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I hereby release Coast City Ballet-Pacific Dance Center and their past, present and future officers, employees, contract teachers, agents,
representatives, successors, assigns, and insurers from any and all liability, loss, damage, costs, claims and/or causes of action, including but
not limited to all bodily injuries, damages or loss of property arising out of participation in classes or activities.
I understand this waiver may be used in a legal action against the undersigned and/or representative filing claims on their behalf
By submitting this form I agree to follow Coast City Ballet~Pacific Dance Center Studio Policies.
|Adult Ballet Registration
|9596 Hamilton Ave - Huntington Beach, CA 92646
email@example.com - firstname.lastname@example.org