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Macti­r Academy of Irish Dance
Waiver and Release of Liability Indemnity and Hold Harmless Agreement 2024-2025

This release agreement is made in recognition of the following:
It is the desire of the student and the parents that the student attend dance classes with Mactir Academy of Irish Dance.

It is the desire of Mactir Academy of Irish Dance to provide the student with the finest Irish dance instruction available.

Both the student, parents and Mactir Academy of Irish Dance are aware that dance can be a very demanding and athletic art form, and that injuries of minor and serious natures can and do result. It is necessary for the student and the parents to realize that they are assuming a known risk of injury in pursuing dance instruction.

It is the desire of both the student and the parents to release Macti­r Academy of Irish Dance from any and all liability for damages and injuries received as the result of attending such dance instruction.

WHEREFORE, the undersigned, for themselves, their heirs, administrators and assigns (hereinafter referred to as “releaser”), grant and agree to fully and forever release and discharge Macti­r Academy of Irish Dance and its agents, employees, representatives, successors, assigns, ad insurers (hereinafter called "releasee") from all claims, demands, damages, actions and rights to actions which releaser now or hereafter may have arising out of, in consequence of, or on account of all injuries to persons, including any latent injuries, and all developments and results there from, known or unknown injuries, whether developed or undeveloped, and anticipated or unanticipated consequences of all such injuries, illnesses, diseases, losses or damages resulting to Releaser from attending such dance instruction.

Today's Date____________________________________

Please Print: Student's name____________________________________________________________

Please Print: Parent/Legal Guardian Name: _________________________________________________

Parent/Legal Guardian Signature_________________________________________________________

In case of a medical or other emergency while my child is under Mactir Academy of Irish Dance's faculty supervision, I understand that center staff will attempt to contact me immediately; however, in the event that I cannot be reached, or when a delay may further jeopardize my child's health, I hereby authorize center authorities for the care and protection of my child. I authorize Macti­r Academy of Irish Dance to:

- Administer first aid and/or cardiopulmonary resuscitation.
- Transport my child via ambulance or other emergency medical service to a local hospital or other urgent care facility, if deemed necessary by paramedics, police, or other emergency personnel.
- Transport my child to a local emergency shelter in the event of an emergency evacuation of the center.

Parent/Guardian Signature_________________________________________________Date___________

In case of a medical or other emergency while my child is under Mactir Academy of Irish Dance's faculty supervision, I understand that center staff will attempt to contact me immediately; however, in the event that I cannot be reached, or when a delay may further jeopardize my child's health, I hereby authorize center authorities for the care and protection of my child. I authorize Macti­r Academy of Irish Dance to:

- Administer first aid and/or cardiopulmonary resuscitation.
- Transport my child via ambulance or other emergency medical service to a local hospital or other urgent care facility, if deemed necessary by paramedics, police, or other emergency personnel.
- Transport my child to a local emergency shelter in the event of an emergency evacuation of the center.

Parent/Guardian Signature_________________________________________________Date___________

Acknowledgement and Acceptance of
Parent and Dancer Handbook

By signing below, I acknowledge I have read, and understand Macti­r Academy of Irish Dance Parent and Dancer Handbook 2024-2025 and agree to abide by their rules and requests. Please note that Mactir Academy of Irish Dance reserves the right to revise, update, and change this handbook at any time. A new Parent and Dancer Handbook will be provided to all students if any changes are made.

Signature of Parent or Legal Guardian (or adult student, 18 or over.):


X________________________________________________________________ Date_________________