Fall 2024 Pace Dance Signup Form

SLC Fall Fling Friday November 15, 2024

Attendee Name

Emergency Contact Telephone

Food Allergies/Additional Information

Email Address

I am ready to dance!

I am a returning SLC student.

I would like to attend the Fall Dance on November 15th at Pace University.

I give permission to photograph for social media or promotional use.

I acknowledge that attending any SLC class/club/event (the “Event”) may involve certain risks (some of which I may not be fully appreciated at the time of signing) and that injuries, death, property damage or other harm could occur to Student or others. In exchange for the consideration granted by SLC in attending the Event, I voluntarily accept and voluntarily incur all risks, waive and forever discharge all claims whether known and unknown, and agree to release, indemnify, defend and hold harmless SLC and the Premises, including their respective officers, directors, employees contractors, shareholders, members, agents, affiliates or insurers (the “Released Parties”) for any injuries, damages, or harm which arise during or result from participation in the Event, regardless of whether or not caused in whole or in part by the negligence or other fault of the Released Parties.

I acknowledge and agree that in the event of a breach or any of your obligations under these Guidelines, SLC in its sole discretion, may refuse Student's admission to class/club/event and/or cancel Student's enrollment in the SLC program thereby terminating this agreement. The SLC reserves the right, at its discretion, to refuse or withdraw a student from the program at any time, for any reason. You may not assign any of your or Student's rights or obligations hereunder, whether voluntarily or involuntarily without the SLC's written consent.

That SLC in its sole discretion, may refuse Student's admission to the Class and/or cancel Student's enrollment in the SLC program. I understand the SLC may refuse to allow a student to attend.

Student/Parent/Guardian Name

Student/Parent/Guardian

I have read, understand, and agree to the risks in attending the Event.