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2019-20 STUDENT WAIVER FOR KELLY'S DANCE STUDIO
LIABILITY RELEASE/WAIVER FORM
All participants and students must complete this form before participating in any classes or rehearsals at Kellys's Dance Studio. If participant is under age 18, a parent or guardian must also sign this form.
Admission to class and/or rehearsal will not be granted if this form is not received prior to class and is not properly electronically signed.
Waiver of Liability:
I recognize and understand the risks of physical injury inherent to dance and dance training and I fully assume those risks. I hereby release Kelly's Dance Studio from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsal or performances. I agree to indemnify,, defend and hold harmless Kelly's Dance Studio for liabiliies, costs and judgments arising from acts of omissions committed by me or my child which result in injury or damage to any person or property.
In case of physical injury or medical emergency, I hereby authorize Kelly's Dance Studio to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that Kelly's Dance Studio will attempt to notify the person(s) of my condition and how to reach me.
Kelly's Dance Studio has my permission to use my or my child's likeness including photographs and videos on websites and other promotional materials used by and representing Kelly's Dance Studio. I understand that there will be no compensation to me for the use.
Acknowledgement of Waiver
In signing this release, I acknowledge and represent that I have fully informed myself of the content of the waiver and hold harmless agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed: no oral representations, statements, or inducements, apart from the written statement have been made. I further state that I am at least 18 years of age and am fully competent to sign this agreement: and that I execute this release for full , adequate, and complete consideration fully intending to be bound by the same. I further state that there are no health related reasond or problems which preclude or restrict my or my child's participation in this activity, and that I will pay any medical costs that may be attendant as a result of injury to me or my child.
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