2019 Summer Program  Sign Up!
    * REGISTRATION INCOMPLETE UNTIL PAYMENT HAS BEEN MADE. PAYMENT IS DUE AT THE TIME OF REGISTRATION. *
    YOU WILL BE RE-DIRECTED TO AN ONLINE PAYMENT WINDOW AFTER SUBMITTING THIS APPLICATION.
    A minimum of 3 children is required for session to take place.
    As parents or legal guardian of (name of child) , I hereby consent to aforementioned participating dance and related activated with ABAKA. I recognize that potentially injuries can occur at any activity involving motion, including dance and related activities. I understand it is the express intent of ABAKA to provide for the safety and protection of my child and in consideration for allowing my child to use these facilities, I hereby forever release ABAKA, its officers, employees, and teachers for all liability for any and all damages suffered by my child while under the instruction, supervision or control of ABAKA or its employees. As parent or legal guardian of the aforementioned person, I hereby agree to individually provide for the possible future medical expenses, which may be incurred by my child as result of any injury, sustained while participating in dance class or related activities at ABAKA. This acknowledgment of risk and waiver of liability, having been read through thoroughly and understood completely, is signed voluntarily as to its content and intent.

    By signing this form, I agree to allow my child/children's images to be used on Abaka website or other media. If you do not want your children's images to be used, you must mail a certified letter stating your disagreement to the photo policy.