LIABILITY RELEASE/WAIVER FORM
All participants MUST compete this form
All participants and students must complete this form before participating in any classes at Chelsea's Dance Pac. If participant is under age 18, a parent or guardian must also agree this form.
Admission to class will not be granted if this form is not received prior to class and is not properly signed.
Waiver of Liability
I/we recognize and understand the risk of physical injury inherent to dance and dance training and fully assume those risks. I/we hereby release Chelsea's Dance Pac, its affiliates dance studios, event sponsors, employees and dance teachers from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, or performances. I/we agree to indemnify, defend and hold harmless Chelsea's Dance Pac, its affiliates dance studios, event sponsors, employees and dance teachers for liabilities, costs and judgements arising from acts of omissions committed by me or my child which results in injury or damage to any person or property.
Protection of Property
I/we 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/we hereby release Chelsea's Dance Pac, its affiliate dance studios, event sponsors, employees and dance teachers 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 Chelsea's Dance Pac.
In case of physical injury or medical emergency, I/we hereby authorize Chelsea's Dance Pac to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my/our sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I/we understand that Chelsea's Dance Pac will attempt to notify the person(s) I/we have named as my emergency contact(s) of my condition and how to reach me.
Chelsea's Dance Pac 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 Chelsea's Dance Pac and its programs,. Students, or parents of students who are minors, who do not wish to comply with this policy must notify Chelsea's Dance Pac prior to participating in class.
Acknowledgment of Waiver
In signing this Release, I/we acknowledge and represent that I/we have fully informed myself of the content of the waiver and hold harmless agreement by reading it before I/we sign it, and I/we understand that I/we agree to this document as my/our own free act and deed; no oral representations, statements, or inducements, apart from the written statement, have been made. I/we further state that I/we am/are at least eighteen (18) years of age and am fully competent to sign this agreement;and that I/we execute this release for full, adequate, and complete consideration fully intending to be bound by the same. I/we further state there are no health-related reasons or problems which preclude or restrict my or my child's participation in this activity, and that I/we will pay any medical costs that may be attendant as a result of injury to me or my child.
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