WORLD OF DANCE MASTER CLASSES REGISTRATION
You may fill out this form electronically, though payment must be sent to the School of Dance via mail to:
Tracy Lane, School of Dance
99 Main Street
Franklin, MA, 02038
First & Last Name:
Zip Code, City, State:
Emergency Contact Name:
Relationship to You:
REGISTER FOR MASTER CLASSES (check all you wish to attend)
February 13, 2014, 11:30am-1:00pm w/ Theresa Ruth Howard $25
February 13, 2014, 1:10pm-2:30pm w/ Theresa Ruth Howard $25
February 22, 2014, 9:00am-4:00pm w/ David Parker, Nyama McCarthy Brown, Mark Kimelman, Martin Lofsnes $70
(You may take 1, 2, 3 or all 4 classes)
March 2, 2014, 4:00pm-7:30pm w/ Dancers from Cirque Du Soleil Shondra Weinberg and Pom Arnold
April 2, 2014, 3:00pm-4:40pm w/ Shura Baryshnikov $25
April 26th, 2014, 3:00pm-4:30pm JAZZ w/ Jeff Shade $25
April 26th, 2014, 4:30pm-6:00pm TAP w/ Jeff Shade $25
WAIVER AND RELEASE OF LIABILITY
Please read and complete carefully: This electronic form involves a waiver of legal rights.
PLEASE FILL IN DATE AND NAME of Program/Event: World of Dance Master Classes
College Sponsor (Faculty/Staff, department, etc.): Dean College School of Dance
Novelty/Program/Event: Master class
I understand and agree to the following:
1.My participation in this novelty/program/event is entirely voluntary, and is not required by Dean College or any person acting on its behalf.
2.I understand that all Dean College guidelines and regulations are in effect at all times during the novelty/program/event, and that any student or guest found to be in violation of these guidelines or regulations will be subject to College disciplinary procedures.
3.I understand and agree that although this novelty/program/event may be organized or sponsored by the College, the College is not in a position to prevent any injury, illness, loss, or harm that I may suffer in connection with the trip, and I am not relying on the College or any of its agents or employees to do so. I am not relying on the College to provide any medical care or any expert guidance or judgment in connection with this trip. I also am not relying on the College to vouch for the safety of any place the participants may stay or go, or of any of the activities the participants may engage in.
4.I HEREBY EXPRESSLY ASSUME THE RISK OF ANY PERSONAL OR OTHER INJURY, ANY LOSS OR DAMAGE TO PROPERTY, AND ANY OTHER LOSS OR HARM OF ANY KIND THAT I OR ANYONE ELSE MIGHT INCUR IN CONNECTION WITH THIS NOVELTY/PROGRAM/EVENT, AND I HEREBY RELEASE DEAN COLLEGE AND ALL OF ITS OFFICERS, DIRECTORS, TRUSTEES, AGENTS, SERVANTS AND EMPLOYEES FROM ANY LIABILITY, DAMAGES, OR CLAIMS OF ANY KIND RELATING IN ANY WAY TO ANY SUCH ILLNESS, INJURY, HARM OR LOSS.
5.I give Dean college permission to use photographs and marketing material from this event
BY INITIALING THE BOX BELOW YOU ARE ACKNOWLEDGING THE DISPLAYED WAIVER AND RELEASE OF LIABILITY. A PARENT/GUARDIAN MUST INITIAL IF THE ATTENDEE IS NOT OF LEGAL AGE.