Participant Waiver & Consent Form

Welcome to Hillspire Academy of Dance!
We’re so excited to share the joy of movement and creativity with you. Before we begin, we ask all participants to review and complete this waiver and consent form. This helps us ensure a safe, fun, and respectful experience for everyone in our magical dance space. Thank you for taking a moment to read and sign — and now, let’s dance!

Participant Information

First name

Last name

Phone

Birthday (So we may celebrate your level up day!)

Month

Day

Year

Emergency Contact Name

Emergency Contact Phone Number

Liability Waiver and Policies

I have read, understood, and agree to the liability waiver and policies.

Signature & Date

Signature

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Today's Date

Minor Participant Section (only required if the participant is under 18)

I am the parent or legal guardian of the participant named above. I have read and understood this waiver and consent, and I grant permission for my child to participate in activities at Hillspire Academy of Dance.

Parent/Guardian Name

Parent/Guardian Signature

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