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Permission to Use Likeness I give my permission for Dreamz Dance Studio to photograph or video ____________________________ (Child’s Name) and use these images in social media, future publications and advertisements. Assumption of Risk The staff of Dreamz Dance Studio recognizes their obligation to inform students and their parents of the risks and hazards associated with dance. No matter how careful dance instructors are, the risk cannot be eliminated. Parents are encouraged to make their child aware of the potential injury and encourage them to follow all the safety rules and regulations. I have read the above disclosure of dangers in the study of dance and understand the risk involved. I voluntarily assume those risks for ____________________________________ (Child’s Name) in order that he/she will be allowed to participate in dance and all of the activities that Dreamz Dance Studio offers. Permission for Medical Treatment I, _________________________________ (Parent or Guardian) authorize the necessary steps regarding medical attention (i.e., first aid, calling an ambulance, transportation to and/or admittance to the hospital) and will allow authorized hospital faculty and staff to treat my child for any illness/injury he/she might incur. Pertinent Medical Issues or Conditions: Any Known Allergies: Parent/Guardian Signature: __________________________________________ Date: ______________________________ Relationship: ___________________