Name *

First Name

Last Name

Phone

(###)

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Dancer's Name *

First Name

Last Name

Requested Class Date *

Beginner Kids - Tuesday 4:30-5:25pm Beginner Adults - Tuesday 5:30-6:25pm

MM

DD

YYYY

Free Trial Agreement *

I would like to book a free trial class. By doing so, I (the parent or guardian) assume any and all responsibility including financial obligations should I choose to enroll. I (parent/guardian) also agree to hold myself responsible for any injury, illness, accident, or fatality that should happen to myself, my family, or my dancer in the studio, at a Bratten School sponsored performance, competition, parade, event, or online/virtual class. I agree that the Bratten School, Sabrina Wichhart, or any other instructors or student/instructors will not be held responsible in any way. *

I agree