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REGISTER FOR EDD

Please fill out the registration form below. Registration is not complete until a payment method has been received. Payments will run September 1st-June 1st. A staff member will reach out if there are any questions or concerns with your registration.

Student Name *
Student Name
Ethnicity *
Student Birthday *
Student Birthday
Address *
Address
Home Phone
Home Phone
Cell Phone *
Cell Phone
Mother (or guardian) *
Mother (or guardian)
Father (or guardian) *
Father (or guardian)
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
If yes, please include your donation amount.
By selecting CC on file below, you are authorizing EDD to run your card from Sept 1-June 1. A staff member will reach out to finish your registration only if you need to update or add a form of payment.
I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of the School of Eisenhower Dance Detroit classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Eisenhower Dance Detroit, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by the school of Eisenhower Dance Detroit. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Eisenhower Dance Detroit, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.
The majority of communications from our schools comes via e-mail. I understand that it is my responsibility as the parent, to confirm that my e-mail on file is correct. If my e-mail changes, I will verify my new e-mail in writing with the school director and business manager.
Permission is granted to The School of Eisenhower Dance Detroit to use photographs of students for education, presentation, instruction, publicity, or other purposes as determined by Eisenhower Dance Detroit.