All parents, guardians, participants and students must complete this form before participating in any way at Kristinas Ballet Dance Academy.
Waiver of Liability
I, recognize and understand the risks of physical injury inherent to dance and dance training and I fully assume those risks. I hereby release Kristinas Ballet Dance Academy, its owners, directors, affiliates, employees, staff, independent contractors, volunteer helpers, landlords and dance teachers from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, parties, private lessons, field trips, performances, or any function sponsored by Kristinas Ballet Dance Academy. I agree to indemnify, defend, and hold harmless Kristinas Ballet Dance Academy, its affiliate dance studios, event sponsors, employees and dance teachers for liabilities, costs and judgments arising from acts of omissions committed by me, my child, or any member of my family which result in injury or damage to any person or property.
Protection of Property
I understand and agree that it is my sole responsibility to safeguard my personal property while attending or participating in any classes, rehearsals, workshops, or performances. I hereby release Kristinas Ballet Dance Academy, its affiliate dance studios, event sponsors, employees and dance teachers from all liability for loss or damage to my personal property while attending or participating in classes, rehearsals, workshops, or performances. I also agree to abide by any rules, regulations and policies set forth by Kristinas Ballet Dance Academy.
Medical Attention
In case of physical injury or medical emergency, I hereby authorize Kristinas Ballet Dance Academy, to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that Kristinas Ballet Dance Academy will attempt to notify the person(s) I have named on the Enrollment Form as my emergency contact(s) of my condition. I have listed any special medical problems that I have or my child receiving dance lessons has below. Our family doctor approves of our participation in the above listed activities in spite of these medical problems. My initial verifies that I hold Kristinas Ballet Dance Academy and its affiliates 100% harmless. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Kristinas Ballet Dance Academy and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Kristinas Ballet Dance Academy may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Kristinas Ballet Dance Academy employees, volunteers, and program participants and their families.
Photo Release
Kristinas Ballet Dance Academy reserves the right to use photographs and videos taken during classes, workshops, performances, or other affiliated events for the purposes of instruction, advertising and promoting Kristinas Ballet Dance Academy and its programs. Students, or parents of students who are minors, who do not wish to comply with this policy must notify Kristinas Ballet Dance Academy prior to participation in class.
Acknowledgement of Waiver
In signing this Release, I acknowledge and represent that I have fully informed myself of the content of the waiver and hold harmless agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed; no oral representations, statements, or inducements, apart from the written statement, have been made. I further state that I am at least eighteen (18) years of age and am fully competent to sign this agreement; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same. I further state that there are no health-related reasons or problems which preclude or restrict my or my childs participation in this activity, and that I will pay any medical costs that may be attendant as a result of injury to me or my child.
