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INDEPENDENT EXIT PERMISSION FORM

Please fill out the following form to give permission for your child to exit Duet Dance Acacemy wihtout a staff member physically releasing them to you or your designated pick up person.

Tell us what class(es) you dancer is enrolled in.

PARENT/GUARDIAN AUTHORIZATION

Please check each statement below, verifying that you have read and agree to each statement.

I understand:

LIABILITY RELEASE

PARENT & EMERGENCY CONTACT

Please provide an Emergency Contact in case we cannot reach you:

SIGNATURE

By signing below, I authorize Duet Dance Academy to allow my child listed on this form to exit the studio at class and/or rehearsal end time without a Duet staff member releasing them to me or providing supervision outside of the studio. I agree to Independent Exit Policy as detailed in this form.

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© 2025 by DDA Partners, LLC. 

2870 East Cherokee Dr. Canton GA 30115

678-880-7470

Duet Dance Academy, the stylized Duet name, and the Duet logo are registered trademarks of DDA Partners, LLC.

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