Membership

Membership Type*
- Individual (Student/Military (Active or Veteran)
- Individual (Non-Student or Military)
- Couple (Student/Military (Active or Veteran)
- Couple (Non-Student or Military)
Please select the applicable membership type. Students must be full time pre-school through graduate. Military may be Active or a Veteran.
Status*
- New Member
- Renewing Member
School Name or Veteran's Status*
Enter the name of the school where you are a full-time student or your Veteran's Status (Active, Reserves, National Guard).
Member Name*
First Last
Second Member Name*
First Last
Please enter the other name of the couple.
Email*

Please enter the email address that we should use to contact you.
Phone Number*
Please enter the phone number we can use to contact you.
Waiver
In consideration of the right to participate in this activity, I waive and release any and all rights and claims for injury that I may have against the Ballroom Dance Club of Fairbanks (BDCF), and hold harmless its Board, employees, instructors and agents, for any and all injuries incurred by me while participating and voluntarily assuming the risk of this in this activity, unless such injury is caused by gross negligence of the Releasees. I have read and understand the terms and conditions stated herein.
Agreement to Waiver*
Please type your full name to agree to the above waiver.
Consent for Treatment - I give my consent to emergency treatment as may be needed or required if I receive an injury while dancing at BDCF events.*
- YES
- NO
Consent for Pictures or Videos - I give my consent for pictures or videos taken during BDCF events to be shared on the club web page or social media products for marketing and advertising.*
- YES
- NO
Comments
Please enter any other information you'd like us to have.
Total
$0.00

Subtotal
Options
Total

Membership quantity

SKU: membership Category: Membership

Footer

Ballroom Dance Club of Fairbanks

PO Box 81197
Fairbanks, AK 99708
info@fairbanksballroom.dance

Like Us On Facebook

E-news Signup

The best source for timely Club information!

Email Address: