All persons taking part in activities at the Vancouver Tap Dance Society, must sign this form. If said person is under age 18, a parent or guardian must also sign this form. Acceptance into activity at the society, will not be granted if this form is not received prior to activity and is not properly signed. 1) Waiver of Liability I, [name of dancer, or parent’s name if under 18 years] recognize and understand the risks of physical injury inherent to dance and dance training and I fully assume those risks. I hereby release Vancouver Tap Dance Society, the Board of Directors, all faculty and staff and VanTap volunteers from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, or performances. I agree to indemnify, defend, and hold harmless Vancouver Tap Dance Society, employees and dance teachers for liabilities, costs and judgments arising from acts of omissions committed by myself or persons under 18 years of age which result in injury or damage to any person or property. 2) 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, outreach programs, jams or performances. I hereby release Vancouver Tap Dance Society, its affiliate dance studios, event sponsors, Board of Directors, faculty, staff and volunteers from all liability for loss or damage to my personal property while attending or participating in classes, rehearsals, workshops, or performances etc.. I also agree to abide by any rules, regulations and policies set forth by Vancouver Tap Dance Society. 3) Medical Attention In case of physical injury or medical emergency, I hereby authorize Vancouver Tap Dance Society to make necessary arrangements to transport myself or person under 18 years of age 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 Vancouver Tap Dance Society will attempt to notify the person(s) I have named below as my emergency contact(s) of my condition and how to reach me. 4) Acknowledgement of Waiver In agreeing to this Release, I acknowledge and represent that I have fully informed myself of the content of the waiver and 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; no oral representations, statements, or inducements, apart from the written statement, have been made. I further state that I am at least eighteen (18) years of age and am fully competent to sign this agreement; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same. I further state that there are no health-related reasons or problems which preclude or restrict my or my child’s participation in this activity, and that I will pay any medical costs that may be attendant as a result of injury to me or my child.
