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		Permission Slip for Minors (anyone under 18)
	As with any activity requiring physical participation, there is a risk of physical injury while dancing.  By signing this permission slip, you, the parent/legal guardian acknowledges that you are accepting all responsibility/liability for your minor child.  You also acknowledge that you  have the legal right to sign this slip.  Neither Organic Rhythms Dance Studio nor its owners/instructors are responsible for any injuries.  Please complete a slip for each child participating in any classes given by Organic Rhythms Dance Studio. Parents/Legal Guardians, please bring your valid driver's license, state ID, or passport.  Thank you.
Class the Minor child will be taking:_____________________________________ Name of minor:_____________________________________________________ Age:______  Date of Birth:_____________ Allergies/Special Needs:_______________________________________________ __________________________________________________________________ __________________________________________________________________ Address:_________________________________________________________ Contact Number(s):_____________________________________________ Name of Parent/Legal Guardian (print):__________________________________ Signature of Parent/Legal Guardian:_____________________________________ Driver's License/State/Passport ID#_____________________________________ License/ID/Passport Exp. Date:_______________________ Today's Date:______________