We want to keep your private information private. If we collect your name, email, phone number, etc., it won't be shared or sold outside of Arete Dance Center.  If you request inclusion in our mailing list, we will retain your information until you ask us to remove it.

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All new students (including both individuals in a couple) must complete the following form before participating in their first group class or private lesson.


Review Arete Dance Center Privacy Policy

Release of Liability and Personal Injury Waiver

Areté Dance Center offers Ballroom and other forms of dance training. As is inherent in any physical activity, the possibility for injury exists.

Dancing in the above styles includes but isn't limited to dips, lifts, and also "tricks", which are movements which have extreme physical ranges of motion and can be stressful for the body to execute. Dancing itself in the above styles (Ballroom, Latin, Ballet, Fitness) and other dancing can be dangerous and can cause injury, or in extremely rare cases even death, especially if done without proper instruction or supervision.

You in signing this agreement state that you have read it in its entirety and agree also to hold Areté Dance Center free of any liability for any injury or more severe bodily occurrence to your person or personal effects or any other person (including minors) you may bring into the facility or onto a lesson at Areté Dance Center.

It is understood that you undertake to learn dancing completely at your own risk and will not place responsibility for your health on anyone other than yourself, and if the guardian or accompanying a minor state that you (a) have legal guardianship over said minor and (b) will not hold Areté Dance Center liable for any injury or more severe bodily occurrence to that minor. At the same time, it is expected that you will communicate freely to your instructor about any dance move or exercise you feel may cause you injury or pain so that any injury or liability to yourself may be avoided.

Please sign below indicating that you have read and understood the above and release Areté Dance Center from any and all liability associated with your undertaking to learn dance.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
COVID-19 Addendum

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors, we are conducting a simple screening questionnaire. Your participation is important and required to help us take precautionary measures to protect you and everyone in this building. Thank you for your time, consideration, and truthful responses.

You agree to reschedule if you cared for someone diagnosed with COVID-19 within the 14 days of the appointment. *
I Agree
You agree to reschedule if you experienced any cold or flu-like symptoms within 14 days of the appointment. *
I Agree
You agree to wear a mask at the time of your appointment. *
I Agree

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by my mere presence within this establishment and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families. I hereby release the booked business from any and all claims arising from or in connection with any direct COVID-19 impact while visiting.

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
How did you hear about us?
Google Search
Yelp
Flyer
Drive/Walk By
Referral
Other

Do you have any physical limitations or allergies we should know about? *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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