Waiver/Release from Liability: White Swan Academy

I have chosen to have my child participate in dance instruction given by White Swan Academy. I acknowledge that I 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 White Swan Academy is not in any way responsible for making such a determination.

In consideration of my child’s enrollment in any dance instruction program, I understand and agree on behalf of myself and my child, to release, hold harmless, and discharged White Swan Academy from all claims, costs, liabilities, expenses or judgments, including attorneys’ fees and court costs for any occurrences in connection with any dance instruction or activity for the purpose of dance instruction (e.g., travel to and from White Swan Academy). I assume all risks to my child in connection with any instruction and further release White Swan Academy and its owners, and employees from liability for any injury sustained by my child while he or she is enrolled in any dance instruction program, including all risks reasonably connected with such activity whether foreseen or unforeseen.

I understand that White Swan Academy is not responsible for my child or other children under my supervision who are left unsupervised in the common areas and areas surrounding the premises and that White Swan Academy will only be supervising my child when he or she is participating in scheduled dance activities, programs or instruction. I understand that White Swan Academy is not responsible for personal property that is lost, damaged or stolen while I or my child is at or on White Swan Academy premises.

I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and my child participating in White Swan Academy activities and that White Swan Academy does not provide accident or health insurance for those participating in its instruction, activities or programs.

I authorize and agree that White Swan Academy may take and use photographs, videos or likenesses of myself or my child as needed for its record-keeping, advertising and/or public relations projects and that I have no rights to the same and will not be compensated for the same.

My registration is a proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I am of lawful age and competent to make this affirmation.

Agreement of Classroom Protocol: I understand that the accepted practice and methodology of professional dance training entails “hands on” and other forms of physical contact with instructors and other students, and that this is necessary for a student to learn at an appropriate pace. I understand that if there is currently, or ever would be, any reason why my child should not be touched, or should only be touched in a specific way, that it is my responsibility to inform EACH instructor as to what is acceptable, and to discuss any related physical or mental issues with them.

I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND HAVE READ THE SAME PRIOR TO COMPLETING REGISTRATION