Welcome to Alton Academy of Dance! We are so excited to have you dancing with us!
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AADS Waiver & Liability Release

SECTION 1: Student Information
Student Full Name
Date of Birth
Parent/Guardian Full Name
Primary Email
Phone Number

SECTION 2: Assumption of Risk & Liability Waiver
Checkbox required to continue:
☐ I understand that participation in dance classes, rehearsals, performances, camps, workshops, and all related activities at Alton Academy of Dance involves physical activity and carries a risk of injury.
☐ I voluntarily assume all risks associated with my child’s participation in any AADS program, whether in-studio or off-site.
☐ I release and hold harmless Alton Academy of Dance (AADS), its owners, instructors, employees, volunteers, and affiliates from any and all liability, claims, or demands for injuries, losses, or damages arising from participation in any AADS activity.

SECTION 3: Medical Authorization
☐ In the event of an emergency and I cannot be reached, I authorize AADS staff to secure necessary medical treatment for my child.
☐ I understand I am responsible for any medical expenses incurred.

SECTION 4: Personal Belongings
☐ I understand that AADS is not responsible for lost, stolen, or damaged personal items brought into the studio or to any AADS event.

SECTION 5: Photo & Video Release
(Select one)
☐ YES – I give permission for AADS to photograph and/or video my child for use in social media, website, promotional materials, and studio marketing.
☐ NO – I do NOT give permission for photo/video use.

SECTION 6: Agreement Confirmation
☐ I confirm that I have read, understand, and agree to all terms in this waiver and release.

E-SIGNATURE
Parent/Guardian Electronic Signature
Date

I, the undersigned, hereby acknowledge that my dancer, _________________________ [Participant's Name], has enrolled in dance classes at Alton Academy of Dance. I understand that dance classes involve physical activity and interaction with other participants.

I acknowledge that bullying, including but not limited to verbal, social, and physical harassment, can occur in various environments, including dance studios. I understand that the staff and instructors at Alton Academy of Dance are dedicated to maintaining a safe and respectful learning environment and have policies in place to address and prevent bullying incidents.

In consideration for allowing my dancer to participate in dance classes at Alton Academy of Dance, I hereby agree to the following:

1. I understand that bullying is not tolerated at Alton Academy of Dance, and I am encouraged to promptly report any instances of bullying to the staff or instructors.

2. I acknowledge that my dancer may be required to follow the studio's code of conduct and anti-bullying policies, which may include respectful behavior towards instructors, staff, and fellow participants.

3. I understand that should my dancer participate in any bullying behavior there is a three strike policy in place that may cause them to be removed from Alton Academy of Dance for the remainder of the dance season.

4. I understand that while Alton Academy of Dance takes measures to prevent bullying, it cannot guarantee complete elimination of such incidents and is not responsible for the actions of other participants.

5. I acknowledge that I have read and understood this waiver and I voluntarily agree to its terms.

Parent/Guardian's Signature: ________________________ Date: ____________________

As a student at Alton Academy of Dance, I recognize and acknowledge the risk of physical injury, covid/sickness, and/or death and agree to assume the full responsibility of any injuries, covid/sickness, and/or death that may result while participating in activities related to or associated with AADS. I fully release Alton Academy of Dance from any and all responsibility of injuries, covid/sickness, and/or death.