Cudahy Junior Pom and Dance Teams
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Dancer First and Last Name
Dancer Birthday (Day/Month/Year)
Parent/Guardian
Address
Email Address
Parent/Guardian Phone Number
Allergies or Medical Conditions
Release - I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Showcase Dance Studio, it’s owners, employees, instructors, and all affiliated entities (hereinafter collectively referred to as “Showcase Dance Studio”.  
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