WAIVERS AND LIABILITIES
I understand that video and photography are a normal part of class as well as any events
the studio attends or hosts, and give Miss Darcy’s Academy of Dance and Art, LLC
authorization to use any photos or videos for promotional, performance or any other
purpose deemed professional on the studios behalf.
Teacher conduct and contact
MDA instructors are professional and trained in the class being taught however I
understand the nature of classes offered at MDA and in the event of injury, Miss Darcy’s
Academy of Dance and Art LLC will not be liable for said injuries or issues brought on by
participation in any event held at Miss Darcy's Academy.
I understand that I must submit in writing any health problems or conditions of which the studio should be aware (such as heart, back, medical, allergy, muscular, pregnancy, diabetes, epilepsy, chemical or neurological condition, special medication, knee/kidney/shoulder problems, etc.). I understand that risk of injury is inherent in any physical activity and I, on behalf of myself and my child, knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, hereby waive and release Darcy Sines individually and Miss Darcy’s Academy of Dance and Art, LLC and its staff from any and all claims or damages of any kind arising out of my child’s participation in the exercise and/or dance program of Miss Darcy’s Academy of Dance and Art, LLC I further certify that the aforementioned student is in proper physical condition to participate in the exercise/dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do hereby authorize Darcy Sines or her designated agents (being teachers or administrators employed by Miss Darcy’s Academy of Dance and Art, LLC) to obtain medical treatment for my said child in emergency situations where I cannot be reached in time to authorize the treating physician to provide such emergency medical services. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Miss Darcy’s Academy of Dance and Art, LLC. responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year