Dance Studio Waiver and Release Form
Participant Name: _______________________
Parent/Guardian Name: ___________________
Address: ______________________________
Phone Number: _________________________
Email: __________________________________
Emergency Contact Name: _________________
Emergency Contact Phone: _________________
Assumption of Risk:
I understand that dance activities at [Studio Name] involve physical exertion and movement, which may carry some risks of injury. I acknowledge that these risks include, but are not limited to, falls, collisions with other participants or objects, and the effects of strenuous activity. I voluntarily assume all such risks and waive, release, and discharge [Studio Name], its owners, instructors, and employees from any and all claims, liabilities, or damages resulting from or arising out of my child's participation in dance classes or related activities.
Medical Authorization:
I authorize [Studio Name] and its staff to obtain or administer medical treatment for my child in case of illness or injury during their participation in dance classes, if I cannot be reached immediately.
Photography and Publicity:
I grant permission for [Studio Name] to use photographs, videos, or other media of my child for promotional purposes, including but not limited to the studio's website, social media, and marketing materials.
Parent/Guardian Agreement:
I have read this waiver and release form and understand its contents. I am aware that by signing this form, I am waiving certain legal rights which I or my child may have against [Studio Name]. I agree to the terms outlined in this document voluntarily and of my own free will.
Parent/Guardian Signature: ____________________________
Date: ___________________