2021 Summer Program Registration Form & Waiver
    Please select from the list below all of the summer programs you wish to complete this formal registration for: 
    I understand and agree that participating in any dance lesson or class, workshop, rehearsal or performance, there is a possibility of physical injury. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me (or my child) during any of MVDT, The Art Box, and Shanna Becker classes, lessons, rehearsals, performances, or activities. I also exempt, release, and indemnify MVDT, The Art Box, and Shanna Becker, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by MVDT, The Art Box, and Shanna Becker. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold MVDT, The Art Box, and Shanna Becker, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death.  I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights. My signature is represented by my name, typed below. 

Mohawk Valley Dance Theatre