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Registration Form
 

CLICK HERE TO DOWNLOAD A SUMMER/FALL REGISTRATION FORM!

Please mail the registration form to Karsha Schermbeck to the following address:

1776 Parkway Dr North

Maumee, Oh 43537

Online Registration Form
All That Jazz Dance Academy
Dancer's Name:
  
Age:
  
Date of Birth:
  
Address:
  
Phone Number:

Emergency Contact Number:

Allergies or Medications:

Classes (check all that apply):

Ballet/Pointe
Hip Hop
Jazz
Lyrical/Contemporary
Tap
Preschool Combo
Contortion/Flexibility
Modern
 

Session:

Summer Session
Fall Session
   
Best way to contact you:

 Fall classes begin September 1st!

I AUTHORIZE ALL THAT JAZZ TO CONSENT TO MEDICAL TREATMENT FOR MYSELF AND/OR MY CHILD WHEN I CANNOT BE REACHED TO CONSENT TO TREATMENT. I CONSENT TO HAVE MY CHILD PARTICIPATE IN PROGRAMS OFFERED BY ALL THAT JAZZ AND ITS REPRESENTATIVES WHETHER PAID OR VOLUNTEER. I AM FULLY AWARE THAT THE ACTIVITIES AT ALL THAT JAZZ CREATE THE POSSIBILITY OF INJURY AND FURTHER AGREE TO HOLD ALL THAT JAZZ AND ITS OWNER AND STAFF HARMLESS FOR ANY INJURY OR RESULTING EXPENSE DURING THE COURSE OF TUMBLING, DANCE INSTRUCTION, OPEN WORKOUTS OR IN THE COURSE OF AN EXHIBITION, COMPETITION OR CLINIC IN WHICH THE STUDENT MAY PARTICIPATE OR TRAVELING TO AND FROM THE EVENT. I ALSO GIVE PERMISSION TO USE PHOTOS OR IMAGES OF MY CHILD IN BROCHURES, WEBSITES, NEWSPAPER ARTICLES OR OTHER MEDIA PUBLICATIONS.
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Karsha's All That Jazz Dance Academy