June 28th, 2025

Clear Springs High School

Special Guest Instructor Maesi Caes

Ages 9-11 June 28th-Clear Springs

Registration Form Required with Purchase

Classes will be from 8:30am-1:00pm (8am check in & a scheduled lunch break)

All dancers need dance shoes, tennis shoes & water bottle.

Quantity:

Ages 12 & Up June 28th-Clear Springs

Registration Form Required with Purchase

Classes will be from 1:00pm-6:00pm (12:45pm check in )

All dancers need dance shoes, tennis shoes & water bottle.

Quantity:

Early Bird Rate Until June 18th

Register Here

Fill out some info and we can't wait to dance with you!

Dancer`s Name

First Name

Last Name

Parent/Legal Guardians Name

First Name

Last Name

Phone

(###)

###

####

Level Registering For:

Age 9-11

Age 12+

How did you hear about us?

Liability Waiver

Agreement / Liability Waiver / Acknowledge of Risk / Photo & Video Release I agree to pay all participation fees. This may include classes and workshops. I understand and agree that in participating in any dance class, training or workshop, there is a possibility of physical injury. I voluntarily agree to assume all risks and responsibility for any injury or accident, which might occur to my child during any class, rehearsal, performance, or activity. I agree to not hold iMpact Dance Intensive, any dance teacher, instructor, choreographer, trainer, or facilities liable for any injury including, but not limited to personal injury, illness, disability, loss, or death that may occur before, during, or after classes, workshops, performances, and rehearsals. I give my consent to iMpact Dance Intensive to use any media or medium of me, my child and/or family for posting on iMpact Dance Intensive social media pages as well as for advertising and/or promotional activities. By signing this release form, my child assumes all risks related to the use of any and all spaces used for dance classes, workshops, and rehearsals. (Dancer's Name) (Parent's Name) (Parent's Signature) (Date)