I hereby authorize and approve the attendance and participation of the above applicant at All That Dance, Inc. I recognize and acknowledge that there are certain risks of physical injury from participation in this program and I agree to assume, on behalf of the applicant, full risk of any injuries, damages, or losses, which the applicant may sustain as a result of such participation. I hereby agree to waive and relinquish all claims
for injuries, damages, or loss that the applicant or I may have, as a result of participation in the program, against All That Dance, Inc., its directors, officers, employees and/or agents. I further agree to indemnify and hold harmless and defend All That Dance, Inc., its directors, officers, employees and/or agents, from any and all claims made by or on behalf of the applicant or me, arising out of, connected with, or in any way associated with the activities of the program.
I verify that the above applicant has no medical or physical condition for which participation in dance classes would be against his/her doctor’s recommendation.
Additionally, I hereby give consent to the use of my child’s likeness in any All That Dance related promotional or advertising material.
I have carefully read this document and I fully understand the contents of it. I am in complete agreement with all of the provisions of this document.