LORI ALLEN DANCE CENTER!!!!
& HIP-HOP MASTER CLASS!
Come join the fun Saturday July 15th, 11:00-2:00 3rd grade and up!! Price is $35/dancer
PLEASE SIGN AND DATE WAIVER
I Understand that the dance instruction given to my child,_______________________,is a vigorous
Physical activity which may result in injuries to my child. In consideration of the enrollment of my child,
I hereby release the owners, directors, employees, affiliates and agents of The Lori Allen Dance Center
And the owners of the premises upon which any class, rehearsal or any performances is held from any
And all causes of action, claims for damages and expenses related to or arising out of any accident, injury
Or loss of property related to my child’s instruction or participation in any activity related to the
Lori Allen Dance Center.
Signature______________________________ Date_______________
Parent or legal guardian
Relationship to student_________________________________________
PHOTO DISCLAIMER: I give the Lori Allen Dance Center permission to use my daughter’s/son ‘s photo
On any social media site or Lori Allen Dance Center website Strictly for advertising. YES OR NO
Emergency Name and Number _____________________________________ EMAIL:___________________________________