Pre-Registration Form

Dancer Information:
Your participation on a team will be secured when this form is complete. A $50/person payment must be received to participate. Dance coaches will make the final decisions about practice times and teams in the Fall.

Name *

Email *

Phone *

Mailing Address *

City *

Do you have a dance partner?
NOYES

Partner's Name *

Release and Commitment:
I understand that risk of injury is inherent in any physical activity and I knowingly and voluntarily accept that risk. I, the undersigned, for myself, hereby waive and release Battered Persons’ Advocacy and its board and staff from any and all claims or damages of any kind arising out of my participation in the BPA Dance Competition practices and events. I certify that I am in proper physical condition to participate in the 2019 Dance Competition. By signing, I give BPA’s Executive Director permission to complete a confidential criminal background check to ensure our mission is upheld by all participants representing BPA.

Dancer Responsibilities:
I am committed to practicing during scheduled practiced with my coach and on my own. I also understand that participation requires me to purchase my own costume under the guidance of my coach. I understand that this is a fundraising event and I am committed to fundraising for BPA i.e. soliciting sponsorships, selling a minimum of 8 tickets, and securing pledges.

By checking this box I agree to the above Release and Commitment and Dancer Responsibilities conditions.