ONLINE REGISTRATION FORM
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Student's Name
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Medical Information (allergies—environment/food/medication, medications currently being taken, pre-existing conditions):
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Dance Experience:
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Class Selection(s) Desired: Please Note Day/Time and Class Title
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I have read and understand the information as stated in the registrant notice and waiver of liability form and will adhere to the protocol and procedures of Grossi Dance & Performing Arts Academy (GD&PAA), and acknowledge the GD&PAA shall not be held liable for any accident which may occur to the student or observer during class or upon entering or exiting premises, or during any performances outside of studio properties. Any pictures or videos taken become the property or GD&PAA, and may be used for advertising and marketing purposes.
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I UNDERSTAND AND AGREE
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