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I understand that risk of injury is inherent in any physical activity and I, on behalf of myself and my child, knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, hereby waive and release Lowery Walker individually and Studio W Dance Collective, LLC and its staff from any and all claims or damages of any kind arising out of my child's participation in the exercise and/or dance program of Studio W Dance Collective. I further certify that the aforementioned student is in proper physical condition to participate in the exercise/dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do hereby authorize Lowery Walker or their designated agents (being teachers or administrators employed by Studio W Dance Collective) to obtain medical treatment for my said child in emergency situations where I cannot be reached in time to authorize the treating physician to provide such emergency medical services. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Studio W Dance Collective responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year from the date of acceptance.

Studio W Dance Collective would like your permission to use images/photos or video that may include your child/children.
Photos/Images include recital pictures, candid studio or performance photos, video or activities involving Studio W Dance Collective and its students (parades, fundraisers, competitions, field trips, promotional events etc.) Studio W Dance Collective would like to use photos/ images or video on our website, social media pages, and various newspaper, flyers or print materials used for marketing purposes only. It is our policy that we will never disclose or use full names of minors, if at all, when publishing any photos/images.