All students must complete and sign this form before taking classes at DC Dance Studio.
If the participant is under age 18, a parent or guardian must also sign this form.
Admission to class will not be granted until this form is received and properly signed.
I, _____________________________, recognize and understand the risks of physical injury inherent
to the activity of dance and dance training, and I fully assume those risks. I hereby release
DC Dance Studio employees and dance teachers from all liability for injuries
sustained or illnesses contracted by my child or me while attending or participating in any
dance classes or workshops. I agree to indemnify, defend and hold harmless Ovation Dance
Academy, employees and dance teachers for liabilities, costs and judgments arising from
acts of omissions committed by me or my child which result in injury or damage to any
person or property.
I understand and agree that it is my sole responsibility to safeguard my personal property
while attending or participating in any classes, events, or workshops. I hereby release
Ovation Dance Academy, employees and dance teachers from all liability for loss or damage
to my personal property while attending or participating in classes, events, or workshops. I
also agree to abide by any rules, regulations and policies set forth by DC Dance Studio.
I acknowledge and understand that DC Dance Studio instructors may prohibit the
taking of photos and videos. I agree that I will honor any such restrictions imposed.
In case of physical injury or medical emergency, I hereby authorize Ovation Dance Academy
to make necessary arrangements to transport my child or me 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 I am under 18 years old, I understand that DC Dance Studio
will attempt to notify the person(s) named below as my emergency
contact(s) of my condition and how to reach me.
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 18 years of age and 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 participation in this activity, and that I will pay any medical
costs that may be attendant as a result of injury to my child or me.
DC Dance Studio reserves the right to use photographs of students participating in
class, events or performances for the purposes of instruction, advertising and promoting
Ovation Dance Academy and its programs. Students, or parents of students, who do not
wish to comply with this policy must notify DC Dance Studio prior to participation in
their programs.
Participant’s Name: _______________________________ Parent/Guardian Signature: ____________________________