I do hereby grant permission for my son/daughter to participate in Reflections Dance. In order that my child may receive the proper medical treatment in the event that he/she may sustain injury or illness during dance classes, I hereby authorize the staff to obtain or provide medical treatment for my child for such injury or illness. I hereby hold the teacher and sponsoring organizations harmless in the exercise of this authority. I further understand that there is always a possibility that my child may sustain physical illness or injury while attending class. If this occurs, I hereby authorize the staff and representatives to refer my child to a medical treatment center. I further acknowledge and understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daughter for physical illness or injury that he/she may sustain. Understanding that there is always a possibility that my child may sustain physical illness or injury, I acknowledge and understand that my child is assuming the risk of such physical illness or injury by his/her participation, and I further release the sponsoring organization and its representatives from any claims for personal illness or injury that my child may sustain. In addition I release any photo/video of my child that Reflections Dance or staff members may use for advertisement purposes. I understand a late fee will be added to the account by the 5th if tuition is unpaid due to card decline. I understand Reflections Dance is a zero refund policy studio.
