Alen's School of Indian Dances

Enrollment Application Form

Name of Student (required)

Age (required)

Choose School
 Örebro Stockholm

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Level
 Beginners Advanced

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Name of class:

Address

Home Phone

Mobile Number

Your Email (required)

Emergency Contacts

- If student is less than 18 years of age please complete below

Parent Name

Address

Home Phone

Mobile Number

Your Email (required)

Emergency Contacts

- For students less than 18 years of age, please list any individuals other than the parents that can be responsible for signing
your child in and out of class.

Name 1

Address

Home Phone

Mobile Number

Your Email (required)

Name 2

Address

Home Phone

Mobile Number

Your Email (required)

I agree to participate in the dance programs presented by “Alen's School of Indian Dances” and conditioned as follows:

1. I understand the medical risks that may result from such participation in physical activity, and I represent to “Alen's School of Indian Dances” that I am physically capable of such participation without illness or injury. I am participating in this program upon express agreement and understanding that I shall hereby waive and release “Alen's School of Indian Dances” from and against all claims, actions, causes of actions as a result of damages, costs, liabilities, expenses or judgments, including but not limited to attorney fees and court costs arising from or out of my participation in any of the program offered.

2. I hereby execute this liability form to induce “Alen's School of Indian Dances” to permit me to participate in this program.

3. I have been given, read, and understand all school membership policies pertaining to all students who join this dance school.

Check here if you accept these terms.