Motion Fitness Club: Millburn, NJ

To register for classes at Janine Elizabeth’s Academy of Dance, LLC simply complete the form below. A follow up email will sent with instructions for class placement and payment.

Registration 2016-2017

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While my child is participating in Janine Elizabeth’s Academy of Dance, I, the parent or guardian, assume all risks and liability. By completing this form I waive the right to sue Janine Elizabeth’s Academy of Dance, its owners, all its affiliates, the facility, and any other students participating in the classes. I certify that my child’s medical records are complete and that he/she is fully immunized and physically and mentally able to participate in all physical activities of the program. I certify that my child is covered by a health insurance policy and that Janine Elizabeth’s Academy of Dance, LLC’s insurance will cover immediate treatment ONLY, not Liability. I understand that in case of an accident, I will first submit the claim to my insurance carrier. I agree to be responsible for any hospitalization or other required treatment. I also give Janine Elizabeth’s Academy of Dance permission to videotape, take pictures, and/or interview my child for promotional purposes only for its website or other publications while attending Janine Elizabeth’s Academy of Dance classes.