Health Information and Medical Release/Waiver Form
I, _________________, the parent/guardian of _________________________, am aware that participation in dancing is potentially dangerous and involves risk of injury. I understand that these risks include, but are not limited to injury to ligaments, muscles, tendons, bones, and other aspects of the body that may include head, neck, or spine. Due to the dangers of this activity, I understand the importance of my child’s following the teacher’s instructions regarding techniques, training, and other rules and agree that my child will obey these instructions. In consideration for allowing my child to participate in Beautiful Feet Dance Studio’s activities, I hereby assume all the risks associated with the sport of dance, and I agree to release Beautiful Feet Dance Studio and its employees or agents from any and all liability/responsibility which may arise in connection with my child’s participation in activities at Beautiful Feet Dance Studio.
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.
Parent Release Form for Media Recording
I, the undersigned, do hereby grant permission to Beautiful Feet Dance Studio to use the image of my child, _________________________________. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, advertising, videos, and digital images such as those on Beautiful Feet Dance Studio’s website and Facebook page. By signing this form, I understand that I am giving unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by Beautiful Feet Dance Studio for a variety of purposes and that these images may be used without further notifying me. I do understand that the child’s last name will not be used in conjunction with any video or digital images.
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