Casey Johansen at the age of 18, Casey moved from his hometown of Des Moines, IA to Los Angeles in pursuit of his ultimate dream to be a professional dancer. His journey led him to perform on hit television shows “The Big Bang Theory” and “Glee.” Casey has been a live performer on the Emmy’s, VMA’s, and Oscars. These opportunities have given him the chance to perform with greats Lady Gaga, Taylor Swift, and Rihanna.

Hannah Douglass grew up in Austin, Texas where she trained before moving to Los Angeles. Hannah has been featured in the films: Footloose, Iron Man 2, Bedtime Stories, Dance Flick, and What to Expect When You’re Expecting. Television shows she has been featured on include: Glee, The Goldberg’s, X-Factor, American Idol, and Dancing with the Stars. She has worked on several commercials and music videos as well as toured on Glee: Live Tour and can recently be seen dancing with Beyoncé on her past three world tours.

Liability Waiver

As with other sports, there are risks involved with taking dance classes. Parents and students should be aware that injuries (including paralysis or even death) may occur in dance class. By enrolling your child in class or camp at Starstruck, you are assuming the risks involved with taking dance class.

I ______(parent name) am fully aware of the risk associated with my child participating in a dance class (or team practice) at Starstruck. I will talk with my child about the risk and demand they listen to instruction from their teachers. I acknowledge that I currently have and will continue to provide adequate insurance coverage for my child’s protection. I realize the risk of injury involved and hereby agree to assume the responsibility of such for said student and further agree to save and hold harmless, Starstruck, its employees, and all other concerned, and to indemnify them against loss. I jointly and severally hereby forever release, discharge, and acquit STARSTRUCK ACADEMY OF DANCE from any and all contracts, claims, suits, actions, or liabilities both in law and in equity specifically arising from, relating to or otherwise described as and limited to participation in any dance class including damages or injuries arising from or resulting from participation. This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives. In case of emergency, I give my permission for emergency medical treatment.

Get feedback on how to better your THE LIVE TOUR dancing in a A THREE-DAY INTENSIVE FOCUSING ON THE ULTIMATE PERFORMANCE. professional capacity.

Learn from dancers that have been on world tours with the industries top performers.

Approximate Schedule Day 1: 4-9pm SEPTEMBER 1-3, 2018 Day 2: 11-7pm Day 3: 10-6pm $335.00 SPOTS WILL FILL FAST

Please fill out! STARSTRUCK ELITE Dancer’s Name:______DANCERS ARE Address:______REQUIRED TO COMPETE IN THIS Home Phone:______Parent’s Cell:______NUMBER FOR THE Parents Name:______Dancer’s Age:______2018-2019 SEASON. ANYONE BELOW A Are you currently enrolled at Starstruck? Y / N LEVEL 4 MUST GET APPROVAL FROM Email:______LISA. Payment: Cash, Check, Visa, Master Card.

CC#:______Exp.______CVC: ______

Zip Code:______STARSTRUCK ACADEMY Name on Card:______OF DANCE Signature:______

Registration also available Checks payable to Starstruck. *Fees Non-Refundable online at: www.starstruckdance.com *Please sign Liability Waiver on back!