Dancer Intake Form

Please review the IAC Waiver and fill out the information below.

Dancer Information

Select an option

Guardian 1 Information

Guardian 2 Information

Guardian 3 Information

Please inform IAC if any medical information taken may affect their time in dance class.

In signing this agreement, I acknowledge and represent that I have read and understand this Waiver of Liability Agreement. I hereby release Innovation Arts Connection from any and all liability described in the above. I agree to all above terms and grant permission for the participant to participate in Innovation Arts Connection classes and events.

Thanks for submitting!