LDI DanceWorks

Account Registration

Already have an account with us?

Reset Password

Your Account

Email*

Enter Email Again*

Password*

First Name*

Last Name*

Cell Phone*

Home Phone

Address*

How did you hear about us?

Taking Classes

Add a student

I take classes

Create Account

LDI CONSENT WAIVER AND RELEASE OF LIABILITY FORM

PARENTAL CONSENT, WAIVER AND RELEASE OF LIABILITY FORM
LDI DANCEWORKS (“LDI”)

I, THE UNDERSIGNED, AS THE PARENT OR LEGAL GUARDIAN OF ___________________________________________ (“Child”),

UNDERSTAND THAT THE NATURE OF LDI’S ACTIVITIES INCLUDING, BUT NOT LIMITED TO, DANCE AND TUMBLING INSTRUCTION (the “Activity”), INVOLVES RISK OF SERIOUS BODILY INJURY EVEN IF THE ACTIVITY IS CONDUCTED WITH DUE CARE AND MY CHILD IS IN GOOD HEALTH AND IN PROPER PHYSICAL CONDITION TO PARTICIATE. I DO HEREBY GIVE MY FULL CONSENT AND APPROVAL FOR MY CHILD TO PARTICIPATE IN THE ACTIVITY WITH LDI.

1. I recognize the possibility of injury and illness and I am aware that the Activity is a physical activity. I understand that the Activity involves certain risks, including but not limited to death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, and injury to bones joints, muscles and internal organs, and that these risks may be amplified with respect to the Child participating in the Activity. Additionally, I understand that equipment provided for the Child’s protection may be inadequate to prevent serious injury. On behalf of the Child, myself, and the co-parent or co-legal guardian, I do voluntarily elect to accept and solely assume all risks of injury, loss, damage or cost incurred or suffered by the Child as a result of the Child’s participation in the Activity with LDI, whether known to me or not readily foreseeable at this time.

2. I agree for myself, the minor participant and his/her co-parent or guardian, and all other heirs, administrators, executors, successors, assigns, and next of kin, to discharge, release, hold harmless and covenant not to sue LDI, and its agents, members, directors, officers, employees, representatives, sponsors, volunteers, owners, lessors of the premises on which the Activity takes place, from any and all damages or claims arising, directly or indirectly from the Child’s participation in the Activity, even if arising from ordinary negligence, to the fullest extent permitted by law (“Released Claims”). Moreover, I INDEMNIFY, HOLD HARMLESS LDI, its agents, members, directors, officers, employees, representatives, sponsors, volunteers, owners, lessors of the premises on which the Activity takes place with respect to any and all damages or claims, including reasonable attorneys’ fees, with respect to the Released Claims.

3. This waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I agree that if any portion is held invalid, the remainder of the waiver and release of liability will continue in full force and effect.

4. The Child’s picture or image may be displayed by LDI in its brochure, ads, website, and other social media, such as Facebook, Twitter and Instagram.

_____________ Initial here if you DO NOT authorize the use of the Child’s images.

I CERTIFY THAT I HAVE READ THIS PARENTAL CONSENT, WAIVER AND RELEASE OF LIABILITY AND I FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT ON MY OWN FREE WILL.

___________________________________ __________________________
Parent/Legal Guardian Date

I agree to the terms and conditions*

SMS Opt-In

I consent to receiving customer care text messages from LDI DanceWorks to the phone number provided above. I understand that these texts are to help keep me informed about the studio, message frequency varies, and I can reply STOP to opt out or change my preferences here after logging in. Message and data rates may apply.
Studio Pro Privacy Policy | SMS Terms