Full Name (as to be written on your checks)

Date of Birth

Email

Phone

List Your Socials (IG / Tik Tok / etc.)

I am interested in...

Teaching Studio Classes
Coaching School Teams
Choreographing Competition Routines
Teaching School Enrichment or After School Classes
Guest Instructor for Special Events, Parties, Etc.
Teacher Training Program
Assistant Coaching
Staffing Events
Adult Training (Sunday Sessions)

Dance Styles You Teach Proficiently (list all):

How Long Have You Been Showing Off?

Emergency Contact Info (list any full names and contact info)

Health Insurance

List Allergies or Other Medical Conditions:

User Agreement

SHOW OFF DANCE, LLC MEDICAL WAIVER & PHOTO RELEASE 

I, Dance Instructor, herein referred to as Participant, agree to hold harmless Ebonee Le’Triece and or Show Off Dance, LLC, studio, facility and or its instructors or affiliates, including but not limited to: all representatives, all staff personnel and any administrators and or the school, site, studio or facility for any injury, illness and or death sustained by the Participant during the course of any event or activity.  I further release Ebonee Le’Triece and Show Off Dance, LLC from any medical and or legal costs which may arise due to injury, illness and or death sustained by Participant during the course of any event or activity.

In order that Participant may receive the necessary medical treatment in the event of any injury or illness, I hereby agree to any such medical treatment and hold Show Off Dance, LLC and its representatives harmless in the exercise of this authority.  I acknowledge and understand that the participant may sustain serious physical injury, illness or death and agree to participation.

Participant may be exposed to communicable viruses and disease such as the cold, the flu, or covid-19, also known as “coronavirus”, at any time or in any place associated with Show Off Dance, LLC classes or events.  Be assured that our staff is fully vaccinated and our studio is cleaned and sanitized regularly.  Despite our careful attention to sterilization and disinfection, there is still a chance Participant and their associates could be exposed to an illness in our studio, just as you might be at any public space.  I understand that masks are optional and that all Participants are entitled to vaccination privacy.  

I hereby grant Show Off Dance, LLC the irrevocable right and unrestricted permission to use and publish photographs and or video images of Participant, or in which participant may be included, for any purpose authorized by Show Off Dance, LLC within appropriate usage of, but not limited to: web site / internet usage, social media, editorial publications, catalog and advertising, primarily promotional usage.  This includes the right to modify and retouch images in the discretion of Show Off Dance, LLC.  I understand that the circulation of such materials could be worldwide and that there will be no compensation to me for this use.  Furthermore, I understand that I will not be given the opportunity to inspect nor approve said images or the finished products of any printed / published materials that may be used in connection therewith.  In granting this permission to Show Off Dance, LLC and it’s representatives, I am fully and without limitation releasing it from any liability that may arise from the use of said images.  Show Off Dance, LLC will always use utmost discretion regarding printed and published materials.  All of the above said releases effective upon and the duration of participation.

By submitting any registration or payment, or Participating in any Show Off Dance, LLC affiliated class or event as Participant, Spectator, Instructor or Other in any way, I confirm that I have read, understand and agree contently to these terms. 

If you are under 18-years of age, your registration must be completed by a parent or legal guardian.  Thank you for your agreement and understanding.  It is our goal and responsibility to provide qualified instruction and a fun and safe learning environment for any and all participants and attendees.

I READ, UNDERSTAND AND AGREE CONTENTLY TO ALL OF THE ABOVE, AND ACCEPT RISK & RELEASE ALL LIABILITY.

YES

I understand all Instructor Expectations.

YES

I agree to the Show Off Dance, LLC Code of Ethics.

YES

I affirm that am at least 18-years or older, and on behalf of myself, I affirm that I have read, understand and agree to all Show Off Dance protocols, expectations, code of ethics,class policies and Medical & Photo Release Waivers from the start throughout the duration of my duty and Participation.

YES

Nickname or Stage Name (as to be referenced as / used in promo)