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Minor & Health Declaration

Student's Full Name

Male / Female

Date of Birth

Class Sign-up

Parent's Name

Phone Number

I hereby declare that there is no medical impediment to my child's participation in D Dance Spot Academy LA's classes and that my child is under regular follow-up by a Pediatrician, his/her health condition is normal, and he/she is qualified to participate in the class activities and the effort required with them. In case of a change in his/her health condition, a temporary and/or permanent limitation will be provided to the studio's managment.

I hereby acknowledge this release from liability for accidental injury or illness which may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I am authorizing the participation of a minor in any event/activity held at the D Dance Spot Academy LA facility and competitive off-site locations. I hereby give permission for images of my child, captured during class/event through video and/or photo to be used solely for the purposes of D Dance Spot LA promotional material and publications, and waive any rights of compensation or ownership thereto.

Signature

Thanks for submitting!

Instagram Contest: Terms & Conditions

Eligibility:

Participants must be between the ages of 8 and 13 years old and provide parental consent (parents can submit from their account in representation of their children).

The contest is open to residents of Los Angeles County where permitted by law.

Employees and immediate family members of D Dance Studio are not eligible.

How to Enter:

1. Follow @ddancespot_la on Instagram.
2. ⁠Like the contest rules post.
3. ⁠Comment on the post with any dance emoji and tag 2 friends.
4. ⁠Share the contest post on Instagram Stories and tag us.
5. ⁠Optional for Extra Points:

Share a dance video or photo on your profile, use #DdanceIntoTheNewLocation, and tag us.

Contest Period:

The contest runs from January 16 to January 26th.

Selection of Winners:

Winners will be selected based on enthusiasm, creativity, and engagement.
Multiple (5) winners will be chosen and announced by the end of January.

Prizes:

Prizes include a free professional dance class or a gift card to use on any of our packages.

Winners will be contacted via Instagram Direct Message.
Publicity Release:

By entering, participants grant D Dance Studio permission to use their submitted content for promotional purposes.

General Terms:

This contest is in no way sponsored, endorsed, or administered by, or associated with Instagram.

Participants release Instagram from any responsibility for this contest.

Privacy:

Personal information collected will only be used for the purpose of this contest and will not be shared.
Contact Information:

Any questions or concerns can be directed to aracleplanning@gmail.com.

By entering this contest, participants agree to these terms and conditions.

BEFORE WE START

Minor & Health Declaration

CONTACT US!

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