Dancer Name *

First Name

Last Name

Birth Date *

MM

DD

YYYY

Checkbox *

I understand and give permission for my child to take classes at EDA. I understand that there is a possibility of physical injury. I hereby waive, release, and forever discharge any and all rights and claims for damages which may arise now or in the future against any EDA representative.

I authorize EDA to use their best judgement in any emergency.