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$120.00
Dates: October 10, 17 and 24 from 4:15-5:15pm
If none, specify "N/A"
I hereby give consent to allow the student listed on this form to be photographed and/or video or audio taped during BTW activities, and I agree that the images obtained may be used for educational and promotional purposes and for public relations purposes by Broadway Theater Workshops and its subsidiaries.
I hereby agree to release Broadway Theater Workshops and hold Broadway Theater Workshops, harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance and performing on behalf of the participant.
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