I, the undersigned, hereby give permission for any and all medical attention to be administered to my aforementioned student in the event of accident, injury, illness, etc. under the direction of the physician listed on this form, or by emergency personnel, or any emergency facility, until such time as I may be contacted. I also assume responsibility for payment for any and all such treatment that may be administered.
I, the undersigned, agree to hold harmless: Chris Corn (Owner), Aubreyanna Brinker (Owner), Starlight Studios School of Performing Arts, LLC, and all persons working with or affiliated with this studio from any and all claims of damage or injury suffered by myself or aforementioned student in connection with or by the association of Starlight Studios School of Performing Arts, LLC.
By enrolling the aforementioned student, I certify that he/she is in good physical condition and is able to participate in any and all activities that have been or will be scheduled. I understand and assume all risks associated with dance instruction, rehearsal and training at Starlight Studios School of Performing Arts, LLC or any performances at any location; including but not limited to, risk of bodily injury occurring as a result of executing choreography, contact with other students, instructors, walls, equipment, floors, supplies or other objects on the premises. I understand that any injuries incurred are the sole responsibility of me, the parent/legal guardian, of the aforementioned student. I further understand that as I, the responsible party, must carry my own insurance and that dance classes are taken at my own risk and accept this responsibility