ASSUMPTION OF RISK

BY SIGNING THIS FORM WE ARE AWARE: THE CENTER FOR DANCE ARTS NOR ITS INSTRUCTORS SHALL BE HELD RESPONSIBLE FOR ANY INJURIES THAT MAY OCCUR AT THE STUDIO OR AT ANY STUDIO PERFORMANCE.I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at The Center For Dance Arts or participation in programming. On my behalf, and on behalf of my children.

MEDICAL WAIVER:
For the safety of our students and staff, if your child is experiencing any symptoms such as : Fever,(must be 24 hours fever free as stated in the CDC guidelines) chills, body aches, nausea and or vomitting, diarrhea, extreme fatigue, loss of taste or smell, sore throat, itchy scalp ( Head lice symptom), or anything else that you may think could possibly be a contagious illness, PLEASE DO NOT SEND YOUR CHILD TO DANCE CLASS OR ANY DANCE ASSOCIATED PROGRAM THROUGH THE CENTER FOR DANCE ARTS. We have students from 10-15 school districts.... we do not want to be the cause of illness spreading from one district to another. We greatly appreciate your cooperation and understanding in this matter.

_I give my child permission to participate in the classes/programs for which I have registered.

_ I certify that my child is in proper physical condition to take part in all activities, including being illness free.

_ I realize that there are certain risks involved in dance, tumbling and the other physical activities of our programs.

_I have completed the required medical information included with this registration form, indicating any allergies (environmental, food, or other), asthma, injuries, physical limitations, learning differences, medical conditions, and medications. I give permission to secure emergency medical attention in the event my child is injured or becomes ill and I or my assigned emergency contact(s) cannot be reached."

Please indicate any medical conditions that the staff should be aware of and/or limit your child’s activities (i.e. allergies, asthma, injuries, learning differences, physical limitations and medical conditions.)*

PHOTO /VIDEO CONSENT

I affirm that photographs and video may be taken of me and/or the undersigned minor child. I hereby authorize The Center For Dance Arts to use any such photographs or videos containing my image or likeness and/or the undersigned minor child’s image or likeness for promotional or marketing needs, including but not limited to printed material, videos, and websites. I release [insert school name] from any expectation of confidentiality for the undersigned minor child and myself. I attest that I am the parent or legal guardian of the children registered at The Center For Dance Arts and that I have the authority to authorize [insert school name] to use such photographs, videos and names. I acknowledge that since participation in publications and websites produced by The center for dance arts is voluntary, neither the minor child nor I will receive financial compensation. I further agree that participation in any publication and website produced by [insert school name] confers no rights of ownership whatsoever. I release The Center for Dance Arts, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor child.

I affirm that photographs and video may be taken of me and/or the undersigned minor child.

I do NOT affirm that photographs and video may be taken of me and/or the undersigned minor child.

RELEASE OF LIABILITY

In consideration of the above, I hereby release and hold harmless The Center For Dance Arts, its faculty/staff members and the directors from and against any liability or claim for any loss of property, injury, harm, cost or damage sustained as a result of my child's participation in classes, activities, performances, events and camps/summer programs.

WITHDRAWAL POLICY

To withdraw my child from classes at The Center For Dance Arts, I understand that I must notify the studio and complete the withdrawal form; not attending classes does not constitute withdrawing. I am responsible for giving a 30 day written notice and responsible for tuition for this timeframe. If costumes have already been ordered, I understand that I will comply with all payment policies for the costumes and I understand that I can pick up the costume after May 15.

***If my child is registered for a competition team and I choose to withdraw, I realize I will have a $350.00 fee for not fulfilling my team contract. Said fee will be taken out of my checking account or charged to the authorized credit card.