Jewels of The Nile Parade & Performance Dance Company

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The Jewels of the Nile Parade/Performance Dance Company is a subsidiary

of the Krewe of Nefertiti. Our Jewels are comprised of likeminded ladies 21 years and older from various walks of life with a strong passion for Sisterhood, community service, dancing and performing.

Jewels of The Nile

First Name

Last Name

Phone

Date of Birth (Must Be 21)

Do you have dance experience?

Are you on another dance team? If so what position do you hold?

How did you hear about us

Facebook

Instagram

Current Member

Other

Social Media Name

In the event of an Emergency The undersigned gives permission to Krewe of Nefertiti, Jewels of the Nile, its owners and operators permission to seek medical treatment for the participant in the event they are not able to reach the emergency contact listed. I understand that I will be taken to the nearest medical facility. I hereby declare any physical/mental problems, restrictions, or condition and/or declare myself to be in good physical and mental health. I agree to the terms & conditions

Emergency Contact (name.number,relationship)

Release of Liability I release and hold harmless Krewe of Nefertiti, Jewels of the Nile its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Jewels of the Nile, its owners and operators or in route to or from any of said premises. Entering your name below means you agree to the Release of Liability terms. Release of Liability I release and hold harmless Krewe of Nefertiti, Jewels of the Nile its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained agree to the Release of Liability terms.by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Jewels of the Nile, its owners and operators or in route to or from any of said premises. Please check the box to agree to these Release of Liability terms. I agree to the terms & conditions

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