THE SEED PERFORMING ARTS (THE S.P.A.)
Liability Release & Waiver of Claims
Participant Information
Participant Name: _______________________________________
Date of Birth: __________________
Parent/Guardian (if participant is under 18): _______________________________________
Address: ___________________________________________________________
City: _______________________ State: ______ Zip: __________
Phone: _______________________ Email: ___________________________
Emergency Contact
Name: _______________________________________
Relationship: _________________________________
Phone: _______________________________________
Assumption of Risk
I understand that participation in dance classes, rehearsals, performances, fitness activities, workshops, and related programs at The Seed Performing Arts (The S.P.A.) involves physical activity and carries inherent risks, including but not limited to falls, strains, sprains, fractures, and other injuries.
I voluntarily choose to participate and knowingly assume all risks associated with these activities.
Medical Authorization
I certify that I (or my child) am physically able to participate in these activities.
In the event of an emergency, I authorize The Seed Performing Arts staff to obtain emergency medical treatment if I cannot be reached. I understand that I am responsible for all medical expenses incurred.
Release of Liability
In consideration of participation in programs offered by The Seed Performing Arts (The S.P.A.), I, on behalf of myself, my child, my heirs, executors, and assigns, release and hold harmless The Seed Performing Arts (The S.P.A.), its owners, instructors, volunteers, employees, and representatives from any and all claims, liabilities, damages, or causes of action arising from participation, except where prohibited by law or caused by gross negligence or willful misconduct.
Personal Property
The Seed Performing Arts (The S.P.A.) is not responsible for lost, stolen, or damaged personal belongings.
Photo & Video Release (Optional)
I give permission for The Seed Performing Arts (The S.P.A.) to photograph or record me/my child during classes, rehearsals, performances, and events for promotional, educational, and social media purposes.
☐ Yes
☐ No
Code of Conduct
I agree to follow all studio rules and policies. I understand that unsafe, disruptive, or disrespectful behavior may result in dismissal from class or studio activities.
Acknowledgment
I have carefully read this Liability Release & Waiver, understand its contents, and sign it voluntarily.
Participant Signature: ___________________________________
Date: ___________________
Parent/Guardian Signature (if under 18):
Date: ___________________
Studio Representative: _________________________________
Date: ___________________