Registration: Parents Night Out - Premiere Dance Academy

You deserve a break. They deserve a night of fun!

Once a month, Premiere Dance Academy is turning up the fun so YOU can enjoy a well-earned evening to yourself! Drop the kids off for our Parents’ Night Out- a glow-in-the-dark dance party packed with excitement, music, and memory-making.

What’s Included:

Glow Dance Party – Lights down, music up! We’ll get moving with games, dancing, and high-energy fun.

Pizza Dinner – Delicious pizza provided (with allergy accommodations available).

Movie Time – After dancing and dinner, we’ll wind down with a kid-friendly movie on the big screen.

Details:

• Open to kids ages 4 & up (do not have to be a Premiere dancer to attend)

• No dance experience necessary – everyone is welcome!

• Offered once a month: 6/27, 7/25 and 8/22

• Time: 5:30-8:30PM

• Location: Premiere Dance Academy

• Cost: $30

Spots are limited and will fill quickly—register now to reserve your child’s place!

Give yourself a night off while your kids enjoy a night they’ll never forget!

Summer: Parents Night Out

Student 1 Information
Student Name*
First Last
Birthdate*
Month
Day
Year
Age*
Parent/Guardian Information
Parent/Guardian 1 Name*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian 1 Email*
Enter Email Confirm Email
Parent/Guardian Phone*
Dietary Restrictions or requests
We will be serving Pizza, Juice Boxes and Water. Please list any dietary requests here
Allergies/Medical Information
Please list any medical information that we should be aware of here
Product Name
Parents Night Out
- Parents Night Out 6/27
- Parents Night Out 7/25
- Parents Night Out 8/22
Agreements
Dance Participant Liability Waiver and Release Form This Waiver and Release Form (“Release”) is entered into by and between Premiere Dance Academy, LLC, (“Premiere Dance”) and Schulberg Enterprises, LLC, Participant, (collectively the “Parties”) as of this 2024-2025 dance season. WHEREAS, Participant wishes to engage in dance activities at Premiere Dance, Schulberg Enterprises, and Schulberg properties, and WHEREAS, Participant understands that dance activities can be physically demanding; and WHEREAS, Participant understands that the potential for physical injury is inherent in any and all physical activity including dance activities; and NOW, THEREFORE, for good and valuable consideration, the sufficiency of which is hereby acknowledged, the Parties covenant and agree as follows: 1. Premiere Dance agrees to offer Participant dance lessons and other services where Participant will participate in the activities of Premiere Dance, Schulberg Enterprises and Schulberg properties. As part of this participation, Participant will obtain valuable dance skills and experience. 2. Participant agrees not to hold Premiere Dance, Schulberg Enterprises LLC, or its agents, officers or employers, liable for any claims, actions, losses, costs or expenses that may arise in connection with Participant’s participation as a student and/or instructors/owners whether at the Premiere Dance facility, Schulberg Enterprises LLC Facility, or some other location. Participant agrees that this Release shall be construed as broadly as possible, and that if any portion is held invalid, those provisions not deemed to be invalid shall continue in full force and effect. 3. Participant is aware that this is a release of liability and an acknowledgement of his/her voluntary and knowing assumption of the risk of injury. Participant has signed this document voluntarily and of his/her own free will in exchange for the privilege of participation. 4. If Participant is a minor child, a parent or guardian has signed this waiver and release acknowledging the same risks to their child inherent in dance activities. Participant’s parent or guardian also represents that the minor child has the parent or guardian’s permission to participate in dance activities at Premiere Dance, Schulberg Enterprises LLC. 5. Signing below is also acknowledgement that the Parent(s)/Guardian(s) will be fully responsible and agree to make on time payments to Premiere Dance Academy, LLC for Participant’s dance fees including but not limited to: tuition, costumes, competition fees, tights, shoes, etc. as applicable. Past due accounts may be subject to late fee charges and/or debt collections. Pursuant to Minnesota Statute § 604.055, this waiver and release does not purport or intend to waive liability for damage, injuries, or death resulting from conduct that constitutes greater than ordinary negligence. Nothing in this liability waiver and release shall be deemed to grant Participant any warranty as to dance abilities prior to, or after engaging with Premiere Dance, Schulberg Enterprises LLC.
I grant my permission for Premiere Dance Academy to use photographs or video clips of my child.*
- Yes
- No
Please Note:
We reserve the right to cancel any class due to low enrollment. In the event of a cancellation, all payments will be fully refunded.
Parent/Legal Guardian Digital Signature*
By typing my name below, I agree to the terms listed above.
Payment
Coupon
Total
$0.00
Billing Address*
Same as previous

Street Address Address Line 2 City State ZIP Code
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Summer: Parents Night Out

Student 1 Information

Parent/Guardian Information

Agreements

Please Note:

Payment