908-852-1990
181 Main Street, Hackettstown, NJ
Dance for fitness...Dance for Life...Just Dancz
908-852-1990
Student’s Last
Name:___________________________________First________________________
Home Telephone:
_____________________Cell:___________________________
Email
Address:_________________________@_____________________________
Original_______
Extension_________
Renewal__________
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Private Lessons |
Class Lessons |
Practice Lessons |
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Tuition |
Discount |
Balance Due |
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Program Expiration Date:
___________________________________
NO REFUNDS
NO MAKEUPS- must give 24 hour notice for cancellations or you
will be charged for the missed class.
Any physical issues which may interfere with dance
training:________________
If so, please
explain__________________________________________________________________________________________________________________________________________
Registration form and payment are due prior to
start of class. No refunds,
credits or missed class carryovers.
Sign:___________________________________Date:____________________________
Waiver:
(If student is under 18, parent must consent and sign)
I understand that dancing is a physical activity.
I will not hold Just Dancz
responsible for any injuries caused by this training if not caused by
the apparent gross negligence of the teaching procedures.
Just Dancz accepts no responsibility for injury or loss caused
during classes or while participants are at or near the dance studio.
You are responsible for ensuring that you are physically and
medically fit for class you must take care of your own personal safety
at all times. I understand
the implications of signing this waiver and do so freely.
Sign:________________________________Dated:________________________