top of page

Studio Registration & Waiver

One simple form to help us know support and care for your dancer throughout the 2026-2027 season. 

Dancer's Birthday
Month
Day
Year
Which classes are you interested in?
Dancer's Current Dance Experience
Preferred Payment Method
Zelle-Preferred
Credit/Debit

Zelle payments may be sent to bodyandsouldancestudio@gmail.com Please include the dancer's full name in the payment note.

Assumption of risk

I understand that participation in dance, acrobatics, tumbling, conditioning, stretching, performances, and related activities involves inherent risks, including falls, collisions, strains, sprains, fractures, and other injuries. I voluntarily permit my dancer to participate and knowingly accept these risks.

Assumption of Risk Agreement
I have read, understand and agree to the Assumption of Risk above.

Release of Liability

To the fullest extent permitted by Oregon law, I release and hold harmless Body & Soul Dance LLC, its owners, instructors, employees, contractors, and representatives from claims arising from the inherent risks of participation or ordinary negligence. This release does not apply to conduct or claims that cannot legally be waived.

Release of Liability Agreement
I have read, understand and agree to the Release of Liability above.

Hands-on Correction Consent

I understand that dance instruction may include respectful, professional hands-on guidance to correct alignment, placement, posture, or movement, and physical assistance or spotting for safety. I authorize Body & Soul Dance LLC instructors to provide this guidance. My dancer may decline physical contact at any time without penalty, and I may withdraw this consent in writing.

Hands on Correction Agreement
I have read, understand and consent to the hands on instruction described above.

Photo & Media Release

I grant Body & Soul Dance LLC the right to photograph, record, and use my dancer’s image, likeness, voice, and performance in print and digital materials, including its website, social media, advertising, and promotional content, without compensation. This permission is granted indefinitely unless I withdraw it in writing for future use.

Photo & Media Consent
I consent to the Photo & Media Release above

Emergency Medical Authorization Agreement

If I cannot be reached during an emergency, I authorize Body & Soul Dance LLC and its representatives to contact emergency services and obtain reasonably necessary medical care for my dancer. I understand that I am responsible for any resulting medical or transportation expenses.

Emergency Medical Authorization Agreement
I have read, understand and authorize the emergency medical care described above.

Studio Rules and Policies

I acknowledge that enrollment is subject to the Body & Soul Dance Studio Rules and Policies. I understand that these policies may include tuition and payment terms, attendance, cancellations, conduct, costumes, performances, and other studio expectations.

Studio Policies Agreement
I have reviewed, understand and agree to follow the Body & Soul Dance Studio Rules and Polices

Parent/Guardian Certification and Signature

By signing below, I certify that I am the dancer’s parent or legal guardian, that the information provided is accurate, and that I have read, understand, and agree to all acknowledgments, authorizations, releases, and policies contained in this form.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date Signed
Month
Day
Year
bottom of page