REGISTRATION

YOUTH ENROLLMENT

Elemental Dance Method™  ·  Monthly Subscription  ·  Cancel Anytime

STEP 1 OF 4 — SELECT PROGRAM

STEP 2 OF 4 — FREQUENCY

SELECT PREFERRED DAY(S)

STEP 3 OF 4 — STUDENT INFORMATION

Parent / Guardian
Emergency Contact
Students
Student 1
Pricing Summary
Liability Waiver
1. Assumption of Risk. I understand that dance activities involve physical activity and inherent risk of injury. I voluntarily assume all risks associated with participation in Danzversity programs.

2. Waiver and Release. I release Danzversity LLC, its owners, instructors, and staff from any and all liability for injury, loss, or damage arising from participation in programs.

3. Indemnification. I agree to indemnify and hold harmless Danzversity LLC from any claims arising from my or my child’s participation.

4. Medical Consent. In the event of a medical emergency, I authorize Danzversity staff to seek emergency medical treatment on behalf of my child.

5. Health Status. I confirm that my child is in good health and physically capable of participating in dance activities unless otherwise noted above.

6. Media Release. I grant Danzversity permission to photograph and record my child’s participation for promotional use unless I submit a written opt-out.

7. Payment Policy. I understand that all sales are final per the Danzversity Refund Policy. Monthly subscriptions auto-renew until cancelled.

8. Acknowledgment. I have read and understand this agreement and sign it voluntarily.
I have read and agree to the liability waiver above, and I confirm that all information provided is accurate.

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