Registration Form

(optional for Adult students)
(only if under 18 yrs of age)
Preferred number
Mailing Address
Mailing Address
Postal Code

Privacy Policy

Monica’s Danz Gym Inc. (MDG) has a privacy policy regarding the collections, use, retention, disclosure and disposal of personal information including email address.
This policy is available at MDG.

I consent to give MDG permission to gather personal information for the following purposes: registration, communication about MDG’s programs, events, and activities, registration to dance conventions, festivals or competitions, in case of a medical emergency, when necessary for insurance coverage, managing insurance claims and conducting insurance.

Photograph Privacy Policy

From time to time MDG takes photo and/or video footage of students either professionally in performance, or simply for educational or advertising purposes.

I consent to having the participant’s photo provided to media (if applicable), for educational purpose, or ongoing MDG advertisement (i.e. web site).

Please check applicable level of AERIAL APPARATUS TRAINING

Aerial Danz Release Form

In consideration of participating in this aerial danz (including silks, hoop & trapeze, harness, rope, and slings) class, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights & claims for any damages I may have against Monica’s Danz Gym Inc. and/or any instructors, assistants, of organizers of this class, its agents, representatives, successors, and assigns, for any and all injuries or damages which may be sustained and suffered by myself, through my association with or entry in this class.

  1. The Signer (or student) agrees to follow the instructor’s orders and not try any skills without clear instruction from the instructor.
  2. The Signer agrees to not endanger fellow students or the instructor by unauthorized use of the fabric or lack of due attention.
  3. The Signer agrees to not attempt to instruct anyone outside of class without completing advanced level training, in addition to prior approval from the school director Monica Goermann and head aerial instructor Liz Cooper.
  4. Prior permission to photograph and/or videotape classes and/or rehearsals from the head instructor is required.