Tuesday 10:30 am
$15.00 drop-in
We recommend registering before coming in for class.
Fill out and submit  the form below.  
*required fields
RELEASE OF LIABILITY
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
714-963-9771
admin@coastcityballet.com - pdc@coastcityballet.com