All participants and students must read, sign and agree to this waiver before engaging in classes at Five678 Studio of Dance. If participant is under age 18, a parent or guardian must sign this form on their behalf.
Admission to class and/or rehearsal will not be granted if this form is not received and/or not properly signed.
WAIVER OF LIABLITY
I, recognize and understand the risks of physical injury inherent to dance and dance training and I fully assume those risks. I hereby release Five678 Studio of Dance, its officers, directors, staff, and independent contractors, volunteer helpers, and landlords from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, or performances. I agree to hold harmless Five678 Studio of Dance, its director, staff, contractors, events sponsors and volunteers for liabilities, costs and judgments arising from acts of omissions committed by me or my child which result in injury or damage to any person or property.
PROTECTION OF PROPERTY
I understand and agree that it is my sole responsibility to safeguard my personal property while attending or participating in any classes, rehearsals, workshops, or performances. I hereby release Five678 Studio of Dance, its officers, directors, staff, independent contractors, volunteer helpers, and landlords from all liability for loss or damage to my personal property while attending or participating in classes, rehearsals, workshops, or performances. I also agree to abide by any rules, regulations and policies set forth by Five678 Studio of Dance.
MEDICIAL ATTENTION
In case of physical injury or medical emergency, I hereby authorize a representative of Five678 Studio of Dance to make necessary arrangements to transport myself, my child or any member of my immediate family to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that Five678 Studio of Dance will attempt to notify the person(s) I have named below as my emergency contact(s) of my condition and how to reach me.
MEDIA RELEASE
Five678 Studio of Dance reserves the right to use photographs and videos taken during classes, workshops, performances, or other affiliated events for the purposes of instruction, advertising and promoting Five678 Studio of Dance and its programs. Students, or parents of students who are minors, who do not wish to comply with this policy must notify Five678 Studio of Dance in writing prior to participation in class.
ACKNOWLEDEMENT OR WAIVER AND HANDBOOK.
My signature below releases Five678 Studio of Dance, LLC its officers, directors, staff, and independent contractors, volunteer helpers, and landlords from any and all liability that may result from myself, my children, or any member of my family participating in dance lessons, exercise classes, rehearsals, parties, private lessons, performances, field trips, or any function sponsored by Five678 Studio of Dance, LLC. In signing this Release, I acknowledge and represent that I have fully informed myself of the content of the waiver and studio policy and procedure handbook. I hold harmless agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed. I further state that I am at least eighteen (18) years of age and am fully competent to sign this agreement for myself or on behalf of a minor; and that I execute full release. I further state that there are no health-related reasons or problems which hinder or restrict my or my child’s participation in this activity and that our family doctor approves of participation. I will pay any medical costs that may be attendant as a result of injury to myself, my child or a member of my immediate family.
