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All participants MUST complete this form
All participants and students must fully complete this form before participating in any classes at Infinity Dance Inc. If a participant is under the age of 18, a parent or legal guardian must ALSO sign this form.
If this form is not properly signed/filled out, participation will not be granted in any classes at Infinity Dance Inc.
Waiver of Liability
I, (parent/guardian name), hereby give my child, (child’s name) permission to partake in classes, performances, exams, workshops, or any other dance related events at Infinity Dance Inc. I recognize and fully understand the risks of physical activity inherent to dance training, and fully assume all those risks. I hereby release Infinity Dance Inc, and their employees, instructors, and students from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, performances, workshops, or camps.
Medical Release Form
In case of physical injury or medical emergency I, ___________________________ (parent/guardian name) hereby give permission to Infinity Dance Inc. to make necessary arrangements with medical personnel for my child, _______________________ (child’s name). In the event of an emergency 9/11 will be called, and when appropriate, the emergency contact(s) listed will be notified. I, _________________________________ (parent/guardian) also assume the responsibility cover any medical bills for such treatment. Infinity Dance Inc. will not be responsible to cover any treatments, medical bills, or rehabilitation costs that may come from such emergency. I will not withhold any medical conditions, disabilities, or physical conditions that may impact my child’s ability to participate, may put my student at risk for injury, or may cause the need of medical attention from Infinity Dance Inc.
Photo Release Form
I give Infinity Dance Inc. and all staff full rights to use photos and videos of my child on Infinity Dance Inc’s social media accounts, and for Infinity Dance Inc. promotional and marketing purposes only. Photos and videos may appear on social media, websites, brochures, newspapers, or other advertisements/promotions related to Infinity Dance Inc. The name of your dancer may appear on printed articles accompanied by the photo. Photos may be taken during class, rehearsals, performances, workshops, or other Infinity Dance Inc. affiliated events. Students or parents/guardians of students under the age of 18, who do not wish to comply with this policy must give written notice to Infinity Dance Inc. prior to participation/registration.
I have read, understand, and accept the Liability Release Waiver, Protection of Property, Medica Release,l and Photo Release forms.
Activity Waiver & Release
THIS ACTIVITY WAIVER & RELEASE (this "Agreement") dated this ________ day of
___________________________ of ________________________________________
OF THE FIRST PART
Infinity Dance Inc. of 102 1111 Kingsway Avenue, Medicine Hat, AB, T1A2Y1
(the "Activity Provider")
OF THE SECOND PART
IN CONSIDERATION OF the covenants and agreements contained in this Agreement and
other good and valuable consideration, the receipt of which is hereby acknowledged, the parties
to this Agreement agree as follows:
1. Being of lawful age and in consideration of being permitted to participate in the activity
described below, the Participant releases and forever discharges the Activity Provider, its
owners, directors, officers, employees, agents, assigns, legal representatives and
successors from all manner of actions, causes of action, debts, accounts, bonds,
contracts, claims and demands for or by reason of any injury to person or property,
including injury resulting in the death of the Participant, which has been or may be
sustained as a consequence of the Participant's participation in the activity described
below, and not withstanding that such damage, loss or injury may have been caused
solely or partly by the negligence of the Activity Provider.
2. The Participant understands that the Participant would not be permitted to participate in
the activity described below unless the Participant signed this Agreement.
Initials: ______________________________ Page 1 of 4
Details of Activity
3. The Participant will participate in the following activity: Dance lessons including but not
limited to: ballet, pointe, jazz, tap, lyrical, hiphop, acrobatics, stretch, strengthening.
4. The Participant acknowledges that this Agreement is given with the express intention of
effecting the extinguishment of certain obligations owed to the Participant and with the
intention of binding the Participant's spouse, heirs, executors, administrators, legal
representatives and assigns.
Fitness to Participate
5. The Participant acknowledges that the Participant does not have any physical limitations,
medical ailments, physical or mental disabilities that would limit or prevent the
Participant from participating in the above mentioned activity. If required, the Participant
will obtain a medical examination and clearance.
Full and Final Settlement
6. The Participant hereby acknowledges and agrees that the Participant has carefully read
this Agreement, that the Participant fully understands the same, and that the Participant
is freely and voluntarily executing the same.
7. The Participant understands that by signing this Agreement, the Participant agrees to be
forever prevented from suing or otherwise claiming against the Activity Provider for any
property loss or personal injury that the Participant may sustain while participating in or
preparing for the above noted activity.
8. The Participant has been given the opportunity and has been encouraged to seek
independent legal advice prior to signing this Agreement.
9. This Agreement contains the entire agreement between the parties to this
10. This Agreement will be construed in accordance with and governed by the laws of the
Province of Alberta.
Emergency contact name: __________________________________
Emergency contact phone number: __________________________________
Release/Waiver Agreement Page 3 of 4
Initials: ______________________________ Page 3 of 4
IN WITNESS WHEREOF the Participant and Activity Provider have duly affixed their
signatures under hand and seal on this ________ day of ________________, ________.
Infinity Dance Inc.
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