Dance Theatre

Bring a friend week waiver 

All friends must bring a completed waiver to each class.




CDT Dancers name:_____________________________________________________________________________________________

Friends Name:___________________________________________________________________________________________________

Class Attending:__________________________________________________________________________________________________


I CERTIFY THAT MY CHILD IS IN PROPER PHYSICAL CONDITION TO TAKE PART IN DANCE CLASS. I REALIZE THAT THERE ARE CERTAIN RISKS POSSIBLE IN THE ART OF DANCE. I AGREE TO ASSUME THE RISK OF ALL INJURIES OR DAMAGE THAT MAY ARISE FROM MY CHILD’S PARTICIPATION IN CLASSES AT CITY DANCE THEATRE INC. IN CONSIDERATION OF THE ABOVE I HEREBY RELEASE AND HOLD HARMLESS CITY DANCE THEATRE INC. IT’S TEACHERS AND DIRECTOR FROM AND AGAINST ANY LIABILITY OR CLAIM FOR ANY LOSS OF PROPERTY,INJURY,MISADVENTURE,HARM,COST OR DAMAGE SUSTAINED AS A RESULT OF MY CHILD’S PARTICIPATION IN CLASSES AT CITY DANCE THEATRE INC.


EMERGENCY CONTACT& RELATIONSHIP TO CHILD (other than self): _________________________________________________________            PHONE#___________________________________________________________________________________________________________________________

PLEASE LIST ANY MEDICAL CONDITIONS OR ALLERGIES: ______________________________________________________________________

PARENT/GUARDIAN SIGNATURE :_________________________________________________________________________________________________                               

DATE:_______________________________________________________