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You must be over 18 with intent to register for an account and enroll in CT Theater Dance programs.
Release/Waiver: I am the parent or guardian of the student named above (previous page), a minor child. I sign this Release, Waiver, Indemnity Agreement and Covenant Not to Sue (the "Agreement") in consideration of CT Theater Dance and Fleur de Lis Dance Academy (“CTD”) permitting my child to participate in the dance program. I acknowledge that participation in this dance program may involve strenuous physical activity on my child's part. As with all forms of dance or exercise regimens, I understand and agree that dance and related activities involve an inherent risk of injury or illness. I further acknowledge that participation in this event carries with it the potential for injury to my child. I state that my child is in proper physical condition to participate in this program. I agree to assume full responsibility for any injuries or loss which I or my child may sustain as a result of participating in any and all activities connected with or associated with such program. I do hereby release CT Theater Dance and Fleur de Lis Dance Academy, their owners, officials, officers, agents, employees and volunteers, (collectively the "Released Parties") from and waive all claims of whatsoever kind or nature that I or my child may have or which may accrue to me or my child at any time to include claims for injuries, damage or loss resulting from or on account of my child’s participation in this program and from all liability for personal injury, illness or property damage, occurring on or off premises used, rented, leased, or owned by CTD, whether or not caused by negligence of CTD, its owners, agents, or employees, from any claim for injury or illness while participating or attending any of its dance, exercise or related programs. I further agree to indemnify and hold harmless and to defend the Released Parties from any and all claims resulting from injuries, damages and losses sustained by me or my child arising from or on account of my child’s participation in this dance program or related program.
I further covenant not to sue the Released Parties based on any and all claims resulting from injuries, damages and losses sustained by me or my child arising out my child’s participation in this dance program. This Agreement shall be construed broadly to provide a release, waiver, indemnity and covenant not to sue to the maximum extent permissible under applicable law. I hereby certify that I have read this document and I understand its contents.
In an emergency, I authorize CTD (in accordance with state guidelines) to take such temporary measures as CTD deems appropriate, including calling an emergency response unit. I hereby release the CTD from any claim arising out of said emergency and I also agree that all medical expenses arising therefrom shall be my sole responsibility.
I grant permission to CTD to use photographs and/or video taken of my child during any class, lesson, workshop, program and/or event for use in publications, advertisements, newsletter, website, and other forms of media without notifying me. I hereby waive any right to inspect or approved the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph(s). I am the guardian of my child and hereby have the right and power to submit this release.
I understand and agree that I am responsible for the entire tuition and applicable fees, and said tuition and fees are non-refundable. A portion of tuition may be partially refundable if requested on or before October 15th and only after attending (4) concurrent weeks of classes; this applies only to families that have paid in-full. I understand that any late payments, outstanding balances and/or returned payments are each subject to a $35.00 late fee. I agree to attend all of the classes and activities associated with this registration. I understand that unexcused absences, tardiness, and any inappropriate behavior may result in dismissal from the program or the inability to participate in CTD performances and any tuition and fees associated with any remaining class lessons or performing opportunities are non-refundable.
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