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You must be over 18 to register for an account.
All fees are non-refundable and subject to change. At your first class you will out a release for the year.
By signing your give Arkansas Kids Fashion Plus, INC and it's DBA's the absolute right and permission to use a photograph(s) and or video(s) of me in its promotional materials and publicity efforts. I understand that the photographs may be used in a publication, print ad, direct-mail piece, electronic media (e.g. video, CD-Rom, Internet/WWW), or other form of promotion. I release the parties above, the photographer, their offices, employees, agents, and designees from liability for any violation of any person or proprietary right I may have about such use. I am 18 years of age.
Release (please list all allergies and medical issues on your Childs account)
Indicated in the space below are 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 knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, hereby waive and release Conway County Youth Club and its staff from all claims or damages of any kind arising out of my participation in the after-school and/or dance program. I certify that I am in proper physical condition to participate in the exercise/dance program and that I have 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 Chante Duncan or her designated agents (being teachers or administrators employed by Funk Fusion Company) to obtain medical treatment for myself in emergency situations if needed. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Conway County Youth Club 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 from the date signed below.
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