Hold Harmless & Photo Release

Sep 26, 2023 06:32 AM

Liability Release Form

I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of
dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes
of action of any kind, including any and all claims of negligence arising as a result of such activity from which
liability could accrue to Visions Dance Company, it’s owners, employees, instructors, subsidiaries, and all affiliated
entities (hereinafter collectively referred to as “Visions Dance Company.”)

I hereby agree to release Visions Dance Company and hold them harmless of all liability, and hereby acknowledge
that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active
participation in dance on behalf of the participant. I am aware that this is a release of liability and an
acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document
voluntarily and of my own free will in exchange for the privilege of participation. The participant (if under 18) has
the permission of myself, a legal guardian, to participate in Visions Dance Company events. Dance education
sometimes requires hands-on instruction as well as verbal instruction. Instructors may correct dancers by touching
their arms, legs, feet, hips, back and head to move them in the correct position. I acknowledge that this is a common
standard in dance instruction and understand that it is my responsibility to communicate clearly with my teacher
and/or the director if any form of touch is unacceptable to me.

I further release Visions Dance Company of all liabilities associated with my child’s attendance at Visions Dance
Company. I acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury
arising out of being left unattended at the studio before or after class. I assume responsibility for any damage of
property, theft, or injury caused to other students by leaving my child unattended at Visions Dance Company. I
acknowledge that students left at the studio with or without a guardian could experience accidents that are not the
responsibility of Visions Dance Company.

I voluntarily release and forever discharge and hold harmless Visions Dance Company from any and all claims or
demands for damages, loss of services, costs and expenses, injuries, attorney fees, and any other call for reparation
from any and all injury to me or my property arising in any way from my participation in dance classes, camps,
intensives, workshops, performances, troupes, the use of Visions Dance Company equipment or facilities, and any
activities associated with Visions Dance Company.

I understand that Visions Dance Company does not assume any responsibility for or obligation to provide financial
or other assistance in the event of injury or illness, including but not limited to medical, health, or disability
insurance or support. I authorize Visions Dance Company to obtain necessary medical or dental treatment,
including first aid, ambulance transport, hospitalization, or such other care necessary for my health and welfare in an
emergency. If my insurance does not cover emergency treatment that is deemed necessary and sought for me by
Visions Dance Company, I agree to be responsible for and pay all costs incurred on my behalf. I release and
discharge Visions Dance Company from any claim which may arise on account of any first aid, treatment, or service
rendered in connection with my participation in Visions Dance Company activities or with the decision by any
representative or agent of Visions Dance Company to consent to medical or dental treatment on my behalf in an
emergency. I understand that Visions Dance Company does not carry or maintain health, medical, dental, or
disability insurance coverage for any participant. I agree to take responsibility for full payment of any emergency
medical or dental costs related to my Visions Dance Company participation regardless of whether I have insurance

While a participant at Visions Dance Company, I agree to abide by any rules, codes, and policies that are put in
place by Visions Dance Company before or at any time during my participation. If I have questions or concerns
regarding any policies or decisions made by any representative of Visions Dance Company, I agree to bring them
promptly and specifically to the attention of Laura Cobbs, Sharon Lewis, or Danielle Bagenstose. I have read the
current Studio Policies and understand the expectations for my student’s participation in class.