Waiver and release form liability
(Please note: No student will be allowed in a class until waiver is signed)
WAIVER AND RELEASE: I have chosen to have my child participate in dance and acrobatics given at Acro-Dance Company and City Soccer LLC; BAJ & CDR Holdings LLC. I acknowledge that I fully understand the nature of the activities my child will be participating in and that my child is in the proper physical condition and capable of participating in the related activities, understanding that Acro-Dance Company, it's not in any way responsible for making such a determination.
In consideration of my child’s enrollment in any dance and acrobatic instruction program, I understand and agree on behalf of myself and my child, to release, hold harmless, and discharge Acro-Dance Company and City Soccer Company and City Soccer LLC; BAJ & CDR Holdings LLC. It's Assistants, Officers, Directors and Teachers from all claims, cost, liabilities, expenses or judgments, including attorneys fees and court costs for any occurrences in connection with any dance or acro instruction. I assume all risks to my child in connection with any instruction and further release Acro-Dance Company and City Soccer Company and City Soccer LLC; BAJ & CDR Holdings LLC and it’s owners, staff and faculty from liability for any injuries sustained by my child while he or she is enrolled in any dance or Acro instruction program on the premises or anywhere we participate as representatives of Acro-Dance Company; Including all risks reasonably connected with such activities whether foreseen or unforeseen.
I understand that Acro-Dance Company and City Soccer Company and City Soccer LLC; BAJ & CDR Holdings LLC is not responsible for my child or other children under my supervision who are left unsupervised in the common areas and areas surrounding the dance studio, including but not limited to the parking areas and property boundary and that Acro-Dance Company will only be supervising my child when he or she is participating in scheduled activities, programs or instructions.
ACCOMPANYING PARENTS AND GUARDIANS RELEASE: I understand that Acro-Dance Company and City Soccer Company and City Soccer LLC; BAJ & CDR Holdings LLC is not responsible for any risks in the common areas and areas surrounding the studio facilities, including but not limited to the parking areas and property boundary and that Acro-Dance Company will only be supervising my child.
MEDICAL RELEASE: I give my permission to Acro-Dance Company, owners, staff and/or faculty to call 911 or take my child to a medical/dental facility, if necessary. In case of emergency if none of the contacts on Files from my child can be reached, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. Camp may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. I accept full responsibility for all costs of said medical care and any medical care or emergency treatment. I hereby waive claims whatsoever in connection with such Medical treatments.
PERSONAL PROPERTY RELEASE: I understand that Acro-Dance Company is not responsible for personal property that is lost, damaged or stolen while I or my child is in property premises.
PHOTO / IMAGE RELEASE: I authorize and agree that Acro-Dance Company may take and use photographs, videos or likenesses of me or my child has needed for each record-keeping, recital programs, advertising and / or public relations projects and that I have no right to the same and will not be compensated for the same.
My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement and to all terms and conditions contained above. I am of lawful age and competent to sign this affirmation.
I FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND I HAVE READ THE SAME PRIOR TO SIGNING.