Tap (8+) - Spero Dance Class Registration (12-Week Session)

Tap 1 (8yrs+)

Ages 8+ - Wednesdays 5:45pm-6:45pm - 12 Week Session
Student Name

First NameLast Name
Age
Email
If a minor, please enter PARENT/GUARDIAN email.
Parent/Guardian Name (for minors only)

First NameLast Name
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Liability and Photo Release Waiver
MEDICAL WAIVER: I understand that there are risks of physical injury associated with, arising out of, and inherent to these activities. Participation includes possible exposure to and illness from infectious diseases. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I knowingly and freely assume all such risks related to illness and infectious diseases, even if arising from the negligence or fault of the Released Parties. Should injuries or illness occur during or as a result of participation in any rehearsal or performance or class, I agree to indemnify and hold harmless Spero Program for the Performing Arts and all employees, instructors, and volunteers connected with Spero PPA.
Initial Here
Allergies or Physical Limitations
(Please list any relevant allergies we should be aware of [food/medical/environmental], or any physical limitations [recent injuries, asthma, etc])
Photo Release
I give Spero Program for the Performing Arts permission to take photographs and/or videos of my child in connection with Spero activities. I authorize Spero to use such
photos/videos for any lawful purpose, including publicity, illustration, advertising, and
website content.
Initial Here
Signature (if minor, Parent/Guardian sign)
Date

MonthDayYear

Payment

Class Registration

12-Week Session

$240.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Tap 1 (8yrs+)

Emergency Contact Information

Medical Liability and Photo Release Waiver

Photo Release

Payment*

Payment