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Maxine Patterson School of Dance

   2212 Lincoln Street 
  Savannah, GA 31401
      912-234-8745
        

  Summer Dance Registration Form

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        Registration Agreement

My child has permission to participate in various dance classes at Maxine Patterson School of Dance in Savannah, GA and other various locations. 
 I hereby waive and release the Maxine
Patterson School of Dance and all instructors at the studio of any claims, actions, causes of
actions, damages, costs, liabilities, expenses or judgments, including attorney’s fees and courtcosts, arising out of my child’s participation in this program.

   Contact Information:


Instructor:

Nakia Young


Email: [email protected]

 [email protected]