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The undersigned acknowledges that a Broadway on the Boulevard 2024/2025 Code of Conduct/Handbook has been provided to them electronically upon online registration (located within the Shared Files) and attached to registration confirmation email.

The undersigned has a full understanding of the policies and procedures included in this handbook and will abide by this handbook respectfully at all times.

I hereby grant full consent to Broadway on the Boulevard and its staff or contracted third parties to use photos, videos, digital images, and/or audio recordings of my child for use in studio promotional materials. This may include but is not limited to use on social media, advertising material, TV ads, our website, or other means.

The safety of our students is our main priority. Please be sure that we will use all possible means to protect our students and their personal identities.

I the undersigned, on behalf of my child, a minor, due hereby request enrollment in a program offered by Broadway on the Boulevard, 328 Kennedy Boulevard, Pittston, PA 18640 (herein referred to as BOTB). In consideration thereof I, or the minor and myself, our executors and assigns and other representatives due hereby release and hold harmless BOTB and its owners and staff from any and all claims, causes of actions or suits which may result in the enrollment in these classes or any of BOTB's related functions, except for gross negligence on the part of BOTB.

1. Medical Attention: In the event of illness or injury, or if deemed necessary by BOTB, I hereby give my consent to BOTB staff, volunteer or paid, to provide, through a medical professional of its choice, customary medical/athletic training attention, temporary first-aid, transportation, and emergency medical services as warranted in the course of the program participation.

2. I am aware that dance, acrobatics/gymnastics, and related activities and training places unusual stress on the body and carries with it, the risk of physical injury. Students may suffer injuries, possibly minor, serious or catastrophic in nature.

3. I am/will make my child aware of the possibility of injury and encourage my child to follow all safety rules and staff instructions. I understand that it is my/the guardians responsibility to warn the child of the dangers of dance/acro/gymnastics, and related activities in a language that the child will understand. BOTB will only warn the student through safety messages and our teaching style and progressions.

4. I affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage which I consider adequate for both my child and or my protection.

5. I understand that proper dance, acro/gymnastics, and related activities and training involve touching and adjustment of the student's body by the instructor to help the student feel proper placement of the head, neck, torso, arms, hands, legs, and feet and to assist in safe execution and teaching of skills.

For any student who is not yet 18 years old; as a legal parent guardian, I hereby verify by my signature below that I fully understand and accept each of the above conditions for permitting my child or myself to participate in classes, events, competitions, and activities conducted by BOTB.