General Waiver and Authorization
Dec 21, 2024 12:37 PM
Accord Dance Theatre will be referred to as ADT in the following releases.
Publicity Release: I hereby grant ADT permission to record the participation of the student on video or by photograph and to use it for promotion, class material and public relations on the ADT website, in print, and at other ADT functions for aforementioned purposes only. I understand and agree that these materials will become the property of ADT. I waive any right to compensation arising or related to the use of such materials by ADT.
Medical Release: I hereby certify that my child (or myself) is in normal health and capable of participating safely in ADT's programs. I will notify ADT if the participant has any health problems. I aware that dance training and the associated athletic exercises therein may place unusual stress on the body and carry with it the risk of physical illness or injury. On behalf of my child and myself (and if I as no longer a minor, on my own behalf), I assume all risks and hazards incidental to the conduct of the
program.
In the event I cannot be reached, I hereby give my permission to the management, faculty, and or staff of ADT to authorize any emergency medical care that may be required by the student during their participation in classes, performances, or any related ADT event. This authorization extends until the student is no longer enrolled at ADT. I understand that I am responsible for any and all charges as a result of such care or medical treatment.
Liability Release: As additional consideration for the student's instruction, the undersigned student, parent, or guardian of the student hereby releases and waives any and all claims against ADT and any and all of its employees, contractors, and volunteers for any liability including but not limited to personal and bodily injuries and loss of or damage to property of the student or persons related to the student which may occur while participating in the activities, activities sponsored by ADT.
By agreeing below, I hereby authorize the faculty and staff of Accord Dance Theatre to act for me according to their best judgment in any emergency requiring medical attention for myself or my enrolled dancer. I shall defend, indemnify and hold harmless ADT, its officers, officials, employees and volunteers from and against any and all claims, suits, actions, or liability for injury or death of any person, or for loss or damage to property for any reason while at ADT, coming to or going from ADT, or while at any performance, event or function associated with ADT. I certify my acceptance of the above statement and agree to accept liability for my enrolled dance and for any person(s) associated with my presence at ADT, coming to or going from ADT, or while at any performance, event or function associated with ADT. I have no knowledge of any physical or mental impairment that would be affected by the student's participation in the Accord Dance Theatre programs. I certify that any medical information provided for my student(s) is complete and accurate. I hereby warrant that I am of legal age and have the right to contract in my own name and on behalf of the minors in my care. I have read the above Releases and Authorizations, and I am fully familiar and agree with its contents.
I have read the Publicity, Medical, and Liability Releases in their entirety. I fully understand the contents, meanings and impact of this release, and agree to comply with these releases.