AGREEMENT, RELEASE FROM LIABILITY, WAIVER OF CLAIMS & ASSUMPTION OF RISK
I, on behalf of myself, my heirs, executors, agents, assigns, and representatives, hereby indemnify, release and forever hold harmless Roc Dance, LLC, from any and all claims of liability arising from any accident, personal injury, death, or property loss or damage sustained by my child/myself/the minor child for whom I am a legal guardian, while that person is participating in activities connected with Roc Dance, LCC, including, but not limited to classes, rehearsals, performances, or other activities. I understand that dance activities have inherent risks of injury, and, being fully aware of all risk, I consent to have my child/myself/the minor child for whom I am a legal guardian, participate in the programs and activities offered by Roc Dance, LLC, and I accept full responsibility for providing adequate health and accident insurance coverage for the protection of all of the following who participate in these programs/activities: my child/myself/the minor child for whom I am a legal guardian. By signing this statement, I declare that the aforesaid participant is in good health, with no physical conditions that might prevent his/her/my participation in strenuous and rigorous dance activities and other training and performance connected with musical theater.
I understand that have enrolled myself or my child, in a program of strenuous physical activity including, but not limited to, walking, running, stretching, dancing and tumbling and use of facilities designed, offered, recommended, and/or supervised by Roc Dance, LLC. I have access to and have consulted with a physician regarding the participant’s general health and ability to participate in this dance program and I hereby affirm that I or my child am in good physical condition and do not suffer from any disability, injury, or illness that would prevent or limit my participation in this program.
In consideration of my participation in the program, I hereby forever release their employees, heirs, agents, officers, directors, and shareholders from any and all claims, demands, or causes of action arising from my or my child’s or any other individual for whom I am the legal guardian participation in the program or from any use of the conditioning and exercise equipment and facilities. I acknowledge and agree that this Dance Class Waiver is non-terminable while I or my child is participating in such activities.
Further I understand and acknowledge that because of the physical nature of dance, there may be physical contact between instructors and students during dance instruction. I understand that at times for proper instruction and safety, physical contact is required and necessary.
I understand this contract is for the purchase of class sessions and any other purchase of services in the future. I agree to pay all participation fees. I understand that the cost of a package must be paid by cash, card or check for class sessions and agree to pay for all class sessions. I understand this money is non-refundable and deemed fully earned upon the receipt of such payment and that sessions expire a year from the contract date.
I understand that a minimum requirement of the session(s) per week must be completed or I will be charged for the session(s) missed. No refund will be granted for sessions that have been scheduled that have not been completed unless previously agreed upon by the parties hereto. I understand Roc Dance, LLC have the right and the authority to terminate the program at any time with no refund if I fail to conduct myself in an appropriate manner.
I acknowledge that my scheduled class time is reserved and that cancellations must be made 24 hours in advance. Cancellations must be made by calling Roc Dance, LLC. I understand that I will not receive a refund for missed classes and that it is my responsibility to attend my class session when it is scheduled. Class sessions can be rescheduled earlier or later without a charge, pending availability and agreement of Roc Dance, LLC
I understand that class will begin promptly as scheduled. I acknowledge that any delays to the start of a scheduled class will not be a cause to extend the provided service beyond the remainder of the scheduled time. I will not expect or ask my instructor to run over the allotted time. I understand that if I am 15 minutes late to my session my instructor has the right to cancel my session and I will be charged for that class session. I understand that class sessions will run for the agreed upon number of hours unless otherwise stated.
I fully understand that I should be dressed appropriately and ready to participate at the time of the scheduled class session. If I am not ready to participate at the scheduled time it will be deducted from my time for that particular class session.
I have carefully read this Agreement, Waiver, Release, & Assumption of Risk and fully understand its contents. I understand that this is an assumption of risk and release of liability, and I sign it of my own free will.
I also authorize Roc Dance, LLC to use photos and videos of my child or for promotional purposes. If I am signing this in my capacity as the legal guardian of a minor child, I authorize Roc Dance, LLC to use photos and videos of the minor child for promotional purposes.
Date: ___________
Parent’s Signature: __________________________________________
Print Your Name: ______________________________________________________
Child’s Name: ________________________________________________________