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Game Day Pom Clinic
Summer 2023
About Us
Faculty
Birthday Parties
Birthday Guest Waiver
SCHOLARSHIP
Contact
Waiver
Invite a grown-up you love to dance with you in classes the week of
February 13th-17th.
Invite your grown up to dance class and join the fun!
Have your "Someone You Love" fill out the waiver below prior to coming to class!
BRING SOMEONE YOU LOVE WAIVER
*
Indicates required field
MDW DANCER'S NAME
*
First
Last
CLASS AND TIME ATTENDING
*
GROWN-UP'S NAME
*
First
Last
[object Object]
GROWN-UP'S PHONE NUMBER
*
GROWN-UP'S EMAIL ADDRESS
*
Emergency Contact
*
First
Last
RELEASE
Emergency Contact Phone Number
*
I hereby acknowledge the health of my child or myself to be ready for vigorous activity during dance or acrobatic lessons and authorize the directors to secure any emergency treatment deemed necessary. I hereby release the teachers, assistants, personnel, and Montana Dance Works from all claims for injuries sustained while participating in this program. I hereby acknowledge that Montana Dance Works may take and use photos/videos of my child(ren) or myself for marketing material.
Choose One
*
YES, I ACCEPT
NO, I DO NOT ACCEPT
Submit
Home
Game Day Pom Clinic
Summer 2023
About Us
Faculty
Birthday Parties
Birthday Guest Waiver
SCHOLARSHIP
Contact
Waiver