Arkansas Dance Network
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REGISTER NOW!
(SEE FORM BELOW)

Picture

    REGISTRATION FORM - ADN Dance Workshop
    with Ashley Brown, July 28, 2015, 6:00-7:30pm

    Please indicate how you will be paying your registration fee. NOTE: The workshop will be filled on a first-PAID, first-registered basis. Online payment (PayPal) is the fastest way to secure your place in the workshop.
    Liability Release
    By submitting this registration, I agree to release University of Arkansas at Little Rock, Arkansas Dance Network, its teachers and volunteers from any and all claims in the event of personal injury or property loss sustained during this event.
    Photo/Video Consent & Release

    I hereby grant to Arkansas Dance Network, its affiliates, subsidiaries, agents, and others on its behalf, the right to use (display, license, publish, etc.) photographs and/or video (the "Images" made of me from the 2015 Dance Workshop in any manner or media (whether now existing or hereafter invented) including any online service for purposes of advertising, promoting or publicizing Arkansas Dance Network and/or its affiliates, its services, programs and events.


    I acknowledge and agree that I shall have no right of approval, no claim to compensation and no claim (including without limitation) to claims based on invasion of privacy, defamation, or right of publicity arising our of any use or alteration of the Images in any composite form.
Submit