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WAIVER 
ALL students must submit a medical waiver before starting classes. 
This waiver is for ALL students

For the safety of all students, please inform us of any allergies or dietary restrictions your child may have so we can accommodate them during class parties at AMDC.

Please be aware that music may be played at high volume during classes and events at AMDC.

**ALL medical information provided will be kept strictly confidential at AMDC to ensure the best assistance for ALL DANCERS

Waiver

Please fill out the following form
in order to participate in our activity.

**During the holiday seasons or a dancer's birthday, parents sometimes bring treats for the dancers. We want to ensure all dancers can safely participate. 

Does the DANCER have any dietary restrictions or ALLERGIC to anything?
Is the DANCER suffering from any medical conditions, physical/mental illness, or injury we should be aware of?

Thanks for submitting!

718 366 2212

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62-19 Myrtle Ave

Glendale, New York

11385

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