Summer Intensive Form

Please fill out the form below.

Name *
*If over 18 Please leave accurate age on the notes tab
Parent/Guardian *
First Week
Second Week
Emergency Contact *
Emergency Contact
Phone *
Phone *
Liability Release Statement *
In the event of an accident or injury, we will not be held responsible for any payment of medical expenses, treatments for injuries that occur at the studio, nor will CY Danceworks, Str8jacket, and the teachers be held responsible or liable for any lawsuits involving these injuries. The emergency contacts will be the first to be notified. If no one can be reached, then the coach will be obligated to provide the medical assistance to remain safe and healthy. By signing below I confirm that the information I have provided above is accurate and I agree to the terms of the Liability Release Statement.

*Note: Payments can be made through cash, check, or Venmo during the first day of class