In adherence with CBDA (C.B. Dance Academy) Privacy Policy, I give my written consent to CBDA to use, without liability, pre-identified personal information of myself, and/or the student named above in order for CBDA to provide me or the above student with dance / performance / costume / registration services - including by email.
Students and parents automatically grant permission to CBDA and its Directors to use, without any compensation whatsoever, their photos and videos for publicity and promotional purposes, including but not limited to ads, television, videotaping and broadcasting, social media, web or print. I also agree to pay to CBDA, upon registration, my child's non-refundable non-transferable dance fees, annual Administration Fee, and Costume Deposit (for each recreational and/or competitive class). I am aware that costumes will be automatically ordered and billed for each child registered.
I recognize that a risk of injury or potential health risks may be involved in participation in the programs / activities in which I am registering my child. I hereby willingly assume full responsibility for such risk of injury or health risks however caused for myself or for the above-named person for whom I am by law responsible during and after my / their participation in the program(s). In consideration of CBDA accepting this application, I hereby remise, release and forever discharge CBDA, its directors, instructors, officers, administrators, successors and/or volunteers participating in or connected with CBDA of and from all manner of action, causes of action, claims or demands against CBDA, I never had, now have, or may hereafter have, for or by reason of any loss, damage or injury sustained by me or the above named person from any medical therapy treatment advised or performed, or of the loss of any equipment used by me or the above named person, whether caused by the negligence of the releasee or otherwise. In the event, that my child requires physical assistance during any COVID 19 restrictions, I waive the 6 feet social distancing Government recommendation.
I have been provided with a copies of the CBDA's "Policy & Guidelines and Privacy Policy" and have read them thoroughly prior to electronically signing this form and and agree to go through these guidelines with my child so that he/she is aware prior to class participation. I have also read and voluntarily agree that no oral representations, statements or inducements apart from the foregoing written agreement have been made.
