I have read the studio policies and procedures located in the shared documents file, including the withdrawal policy and financial, obligations. You must be over 18 to register for an account.

I, ​​​​ parent/guardian of ​​​​ fully understand the studio policy and its contents, including the insurance clause, stating the above signed is fully responsible for any and all claims for damages or injuries incurred in any activity in the building or on its grounds and releases CENTER STAGE DANCE ADACEMY, its faculty, its staff, and its owners from any and all liability. Furthermore, I fully understand Center Stage Dance Academy's withdrawal policy, and accept full financial responsibility as a result of failing to follow the withdrawal policy.

I understand that there are risks of physical injury and even death associated with, arising out of, and inherent to the activity of dance cheer, and tumbling. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Center Stage Dance Academy, its officers, agents, employees, instructors, subsidiaries, parent corporations, the Putnam County Educational Service Center, and all affiliated entities (hereinafter collectively referred to as “Center Stage Dance Academy”).

I hereby agree to release Center Stage Dance Academy and hold Center Stage Dance Academy harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury and death arising out of participation in dance, cheer, or tumbling on behalf of the participant.

I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation.

I also give Center Stage Dance Academy permission to use my child’s picture in or on any form of advertising or promoting Center Stage Dance Academy. This includes social media.

If I am a minor, my parent and or legal guardian has signed this document releasing Center Stage Dance Academy from any and all such liability described above and have acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent in this activity.

The participant has my permission to participate in Center Stage Dance Academy events. I warrant the below information is complete and correct. I further release Center Stage Dance Academy of all liabilities associated with my child’s attendance at Center Stage Dance Academy in any capacity.

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Parent/Guardian Signature ​​​​​ Date

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Participant’s Name​​​​​ ​Date

Center Stage Dance Academy
Liability Release Form

I understand that there are risks of physical injury and even death associated with, arising out of, and
inherent to the activity of dance, cheer, and tumbling. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Center Stage Dance Academy, its officers, agents, employees, instructores, subsidiaries, parent corporations, the Putnam County Educational Service Center, and all affiliated entities (hereinafter collectively referred to as “Center Stage Dance Academy”).

I hereby agree to release Center Stage Dance Academy and hold Center Stage Dance Academy harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury and death arising out of participating in dance, cheer, or tumbling on behalf of the participant.
I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation.

I also give Center Stage Dance Academy permission to use my child’s picture in or on any form of advertising or promoting Center Stage Dance Academy. This includes social media.

If I am a minor, my parent and or legal guardian has also signed this document releasing Center Stage Dance Academy from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent in this activity.

The participant has my permission to participate in Center Stage Dance Academy event. I warrant the below information is complete and correct. I further release Center Stage Dance Academy of all liabilities associated with my child’s attendance at Center Stage Dance Academy.

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Parent/Guardian Signature Date

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Participant’s Name Date

Emergency Contact Name____________________________ Emergency Contact Number ____________________

Email____________________________________________

Please list any injuries, illness, or allergies we should be aware of: