WHEREAS, Divine Love Dance Academy LLC
WHEREAS, Divine Love Dance Academy LLC; and its directors, officers, employees, agents, licensees, successors, assigns, and/or any third parties designated by Divine Love Dance Academy, separately and jointly hereafter referred to as “DLDA.”
I/We (individually or jointly), as parent (s)/legal guardian(s) of the above-named student, agrees to the following:
General Authorization
1. That I/We have enrolled the above-named student at Dlda for dance training and that it is understood that from time to time it will be necessary for DLDA to arrange for the services of independent contractors to manage and operate DLDA as a dance training and instruction institute, and do hereby at all times hold harmless, discharge and release DLDA from any and all liability for injury, loss, damage, obligation, expense, or penalty sustained by the above-named student arising out of or in connection with the above-named student’s participation at DLDA;
2. That I/We acknowledge that the above-named student will be physically touched from time to time during his/her dance training and instruction and will not hold DLDA liable for such physical touching;
3. That I/We authorize DLDA to photograph, film, videotape, record or otherwise capture in any media the above-named student’s dance training, instruction, and performances and to use such recordings for instruction, promotion, publicity and broadcast uses. All ownership and copyright, title and interest in these recordings shall belong to DLDA. I/We further grant DLDA the right to use the above-named student’s name and bio, portrait, picture, likeness and recordings thereof for the purposes of advertising, publicizing, and promoting DLDA;
4. That I/We authorize DLDA, if any, to provide or authorize medical care for the above-named student as needed or requested. In cases of emergency, DLDA is authorized to arrange for medical services and consent to appropriate medical and surgical service recommended by licensed medical professionals. I/We accept full responsibility for all costs of the medical care and any emergency treatments. DLDA will not be responsible for the payments for any medical care or emergency treatments, but will accept billing in its name only to facilitate submission of medical insurance claims for the above-named student, if applicable, or for the prompt forwarding of bills to me/us;
5. That I/We agree that DLDA will not be liable for authorizing medical treatments for the above-named student pursuant to my/our authorization in paragraph 4 above and waive all claims whatsoever in connection with such medical treatments. I/We agree that DLDA will not be liable for and agree to hold DLDA harmless from any liabilities, losses, injuries, damages or expenses related to the above-named student’s participation in any of the activities at DLDA and from the Student’s enrollment at DLDA generally. Any and all claims against DLDA are waived. Any damage and harm by the above-named student will be the responsibility of the parent/legal guardian;
6. That I/We authorize the above-named student to participate in any DLDA sponsored or related activities or excursions, whether held on DLDA grounds or otherwise, including swimming, recreational, educational, and cultural activities. In arranging for such activities or excursions with third parties I/We acknowledge and agree that DLDA is acting as the agent for the student;
7. That I/We grant permission for the above-named student to participate in the dance recitals and productions a
I've read the above and agree.
