2019-2020 Liability Waiver

Jan 19, 2021 07:40 PM

2019-2020 Dance Season (6th Season)


I understand that all dues and tuition should be paid on time. We do not provide make-ups or refunds for any days missed by the student for any reason only those missed/canceled by the Studio Management.


You have our permission, in the event of an emergency and in case we are unavailable, to authorize any physician, nurse practitioner or medical personnel to examine, interview, test and if necessary, treat my child, as they may deem advisable.

I hereby give permission to a creative Symphoni and its affiliates to photograph and/or videotape the student for educational or promotional purposes.


I hereby state that (student’s name) is in good mental and physical health condition to participate in the activities provided by a creative Symphoni including but not limited to all aspects of dance training. I am fully aware that any activity involving motion, height or athletic activity creates the possibility of serious injury. I hereby release a creative Symphoni and its affiliates from liability to the above named student, of the person claiming through him/her, arising from injury to the person or property of the above named student occurring in the premises of a creative Symphoni including any event sponsored or sanctioned by a creative Symphoni and or travel to and from such activities or with a creative Symphoni and its affiliates.

I also agree not to hold these parties responsible in the event that my son/daughter/child engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior in or out of class/performance/outing/event, etc.) or becomes involved in any activity or with any persons not associated with a creative Symphoni or its scheduled classes/performances/outings/events and that a creative Symphoni has the right to send him/her home for inappropriate conduct. No refunds will be given if your above named student is dismissed from class/performance/outing/event due to violation of rules and regulation set forth by a creative Symphoni and its affiliates. I further attest that the information contained in this application is correct to the best of my knowledge. In addition, I have agreed to the policy and fee statement and agree to comply.

I also have read and understand all policies and procedures for a creative Symphoni and will be sure that my child abides by these policies and procedures. I too, will abide by the policies and procedures that apply to me as a parent.