Enrollment Form

Child's Name *
Child's Name
Ex: 4
Parent/Guardian Name
Parent/Guardian Name
Phone *
Informed Consent & Acknowledgement *
I hereby give my approval for my child’s participation in any and all activities prepared by Duo Dance Academy. In exchange for the acceptance of said child’s candidacy by Duo Dance Academy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Duo Dance Academy and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of participating in selected workshops. In case of injury to said child, I hereby waive all claims against Duo Dance Academy. including all instructors, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Medical Release and Authorization *
As Parent and/or Guardian of the named child, I understand that every attempt will be made by the attending staff contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Duo Dance Academy and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
ex: Combo 1/Tuesday/4:30pm ex: Summer Camp

2016-2017 Schedule

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2017 Summer Camp

July 17-21 from 9:30am-12:00pm

Camp Tuition: $225

Tuition is due on the first day of class 

Or mail your check in advance to: 12 Wellington Ave, Daly City, CA 94014

(write child's name on the check)