Name *

First Name

Last Name

Phone *

*Please provide parent phone number for those under 18 years old

(###)

###

####

Adult Monthly Master Class Options *

Please select the class(es) you will be attending:

Thursday, November 16th, 2023 (7:00-8:15pm) - PRICE $15

I hereby agree that Studio K Dance & Fitness LLC, CKK Rental Zone LLC, its directors and staff, are NOT responsible for any damages or liabilities due to theft, accident, or injury during or resulting from myself or my child’s participation in any capacity of or relating to any function or activity of the said Studio K Dance & Fitness LLC and CKK Rental Zone LLC. I further give permission for any photos and videos taken during this program to be used in promotion of Studio K Dance & Fitness, LLC. *

I have read and agree to the above statement