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MEDICAL RELEASE FORM

Any activity that involves motion, including dance and tumbling, may result in the possibility of serious injuries and/or death. No amount of instruction, spotting, or mats can guarantee safety.

I have read the above paragraph and fully understand the risks involved in allowing my child/children to participate in activities at Center Stage Dance Company. I hereby give my permission for my child/children to participate in dance and/or tumbling at Center Stage Dance Company and I assume the responsibility for the possibility of any resultant serious or catastrophic injuries.

In consideration for allowing my child to dance and/or tumble at Center Stage Dance Company, I hereby forever release Center Stage Dance Company, Ashlyn Thalman, Deidre Jenkins (property Owner), and any of Center Stage Dance Company staff, instructors, and/or parent from any responsibility in case of accident, illness, or injury during his/her enrollment in Center Stage Dance Academy.

I authorize any treatment by any accredited hospital and/or physician deemed necessary in case of an emergency when parents cannot be reached. I understand that I am responsible for any medical expenses that may be incurred through my child's participation in any program at Center Stage Dance Company.

I give my permission for my child's photograph to be taken and used at the discretion of Center Stage Dance Company for publicity or professional purposes to reward student's participation. I have read all of the above WARNINGS AND RELEASES STATEMENT and agree to allow my child to participate at Center Stage Dance Company.

MEDICAL RELEASE FORM

Any activity that involves motion, including dance and tumbling, may result in the possibility of serious injuries and/or death. No amount of instruction, spotting, or mats can guarantee safety.

I have read the above paragraph and fully understand the risks involved in allowing my child/children to participate in activities at Center Stage Dance Academy. I hereby give my permission for my child/children to participate in dance and/or tumbling at Center Stage Dance Academy and I assume the responsibility for the possibility of any resultant serious or catastrophic injuries.

In consideration for allowing my child to dance and/or tumble at Center Stage Dance Academy, I hereby forever release Center Stage Dance Academy, Deidre Jenkins, and any of Center Stage Dance Academy staff, instructors, and/or parent from any responsibility in case of accident, illness, or injury during his/her enrollment in Center Stage Dance Academy.

I authorize any treatment by any accredited hospital and/or physician deemed necessary in case of an emergency when parents cannot be reached. I understand that I am responsible for any medical expenses that may be incurred through my child’s participation in any program at Center Stage Dance Academy.

I give my permission for my child’s photograph to be taken and used at the discretion of Center Stage Dance Academy for publicity or professional purposes to reward student’s participation. I have read all of the above WARNINGS AND RELEASES STATEMENT and agree to allow my child to participate at Center Stage Dance Academy.