Summer 2022

Registration Form and Payment


​There is NO summer registration fee.  
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Fill out the form below to register for a summer intensive workshop and/or camps.  you can add siblings to this form.  

Ages are guidelines and it's ok if they aren't exactly that age but are close to the age rage for the class/camp. Maturity is what matters most. Please leave a note if we need to be aware of anything. 
FULL:  June 13-15, Once upon a Time, ages 3-5 
FULL:  June 20-22,  Beach Party, ages 6-8
FULL:  Aug 1-3,  Take me to the Circus, ages 9-12
    Payment Policy
    Payment for ALL Inspired Dance classes is due on or before the first day of the class for the determined session. 
    Failure to communicate or pay on/before class will result in your dancer not being able to participate and will result in a $15 Late Fee.  There are no refunds for missed classes.  Refunds are only available in the event that cancellation happens before the class session starts.
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    * I agree to pay for the class session by or before the first day of class to Inspired Dance.  I understand and agree to uphold Inspired Dance policies and pay the required fee. I also acknowledge that failure to pay will result in dancer not being able to participate and will result in a $15 late fee. 
    Waiver Form
    Please read the following and sign your name below, verifying that you have read and do agree to the following.  In the event there is an emergency, we will call legal guardians first.  If we can't get a hold of a parent or guardian then further action will be taken. 

    Medical Consent: In the event of injury, Inspired Dance will call the parent/guardian first. If the guardian is unreachable, I hereby authorize the program officials of Inspired Dance and all other cooperating agencies, employees, officials, or managers thereof to arrange for medical services as may be deemed reasonable and necessary to the welfare of the injured, and I do hereby release Inspired Dance and their employees and all others involved with the activity from all liability in taking such action, including all action which may be contrary to personal and/or religious beliefs. I, the undersigned, have read this Release and Consent to medical treatment & understand all its terms. I execute it voluntarily and with full knowledge of its significance.

    Liability Release: I do hereby agree to release Inspired Dance,  Evergreen Health Clinics, and all other cooperating agencies, employees, officials, or managers thereof from all liability for damages by reason of injuries or property damages that may be sustained as a result of participation in this program.

    Photo/Video Release: I, the undersigned, hereby give Inspired Dance, its agents, and/or assignee permission to use the photographs, motion pictures or any reproductions of the physical likeness taken of myself or my child in any manner it deems proper. I relinquish all rights, title, and interest I may have in the finished pictures, negatives, and copies. I waive the right of prior approval and hereby release Inspired Dance, its agents, and/or assignee from any and all claims from damages of any and all kinds based on the use of said material. I hereby warrant that I am a parent or legal guardian of the subject of photography, who is under eighteen years of age, and am competent to act in his/her behalf insofar as the above is concerned.  (Names are never shared or made public.).
Thank you for Enrolling your dancer with us!  We value your business and appreciate your support.
* Sometimes there is a malfunction when submitted from smart phone.  If you haven't heard from me after a week, feel free to reach out to me to make sure. 
Kind Regards,
Amy Merrill
inspireddance@gmail.com
​208.353.5581 ​