Name *

First Name

Last Name

1st Contact Number *

(###)

###

####

2nd Contact Number

(###)

###

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I have read and understand the policy at the top of the registration form, SGDA policies, and agree to the terms and conditions for final submission dates and fees. *

Agree

I agree for my photo to be taken and allow SGDA to use the images for advertising purposes on posters/brochures/ websites/ social media/ studio notice board. *

Yes

No

Participation Waiver *

Participation Waiver * We require that the adult dancer reads and agrees to the following waiver: The MEMBER/ PARENT/ GUARDIAN waives and releases Studio G Dance Academy; any program; and it’s employees from any and all claims for personal injury arising during the participation in any program, and/ or while waiting unsupervised before and after class. The MEMBER/ PARENT/ GUARDIAN has read the website/ brochure/ registration details and accepts all policies posted on studiogdanceacademy.com.

Agree

Covid-19 Waiver *

COVID-19 Waiver * The MEMBER/ PARENT/ GUARDIAN waives and releases Studio G Dance Academy Ltd; any program; and it’s employees from any and all claims for the risk of being exposed to and/ or contracting COVID-19 while participating in any program, and/ or while waiting unsupervised before and after class and/ or entering the studio premises. The MEMBER/ PARENT/ GUARDIAN has read the website/ brochure/ registration details and accepts all policies. By checking the box the dancers PARENT/ GUARDIAN/ reads and agrees to the COVID-19 waiver. See waiver release form attached at the bottom of the registration form.

Agree