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Pole in the Park Waiver

In order to use any equipment provided by Pole DSM during Pole in the Parke events, a Waiver must be filled out by each participant. Please click the button below to fill out the form. 

Private lesson Waiver 

(additional student)

If you are attending a private lesson hosted by someone else, please fill out this Additional Student waiver before the class session starts. This waiver must be filled out if you're wanting instruction from Pole Des Moines.

(Hosts {those who originally book the session time} fill out a separate waiver upon booking) 

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