Studio Waiver
Aug 24, 2026 06:05 AM
DESTINED TO DANCE PERFORMING ARTS CENTER
PARTICIPATION WAIVER, ASSUMPTION OF RISK, MEDICAL AUTHORIZATION & PERSONAL PROPERTY POLICY
Participant/Dancer Name: __________________________________________
Date of Birth: ____________________ Age: ____________________
Parent/Guardian Name (if participant is under 18):
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Phone Number: ____________________ Email: ____________________
1. ACKNOWLEDGMENT OF RISKS
I understand that participation in dance, gymnastics, tumbling, acrobatics, majorette, conditioning, stretching, rehearsals, performances, competitions, workshops, camps, travel activities, and other programs offered by Destined to Dance Performing Arts Center (“DTD”) involves physical activity and certain inherent risks.
These risks may include, but are not limited to:
• Slips, trips, and falls
• Muscle strains and sprains
• Bruises and soreness
• Joint, knee, ankle, foot, back, neck, or shoulder injuries
• Collisions with other dancers, instructors, equipment, floors, walls, or objects
• Injuries resulting from jumps, turns, lifts, tumbling, stretching, or other dance movements
• Other injuries that may occur during physical activity, rehearsals, performances, competitions, workshops, or studio-sponsored activities
I understand that injuries can occur even when proper instruction, supervision, and safety precautions are provided.
2. VOLUNTARY PARTICIPATION & ASSUMPTION OF RISK
I voluntarily choose to participate, or allow my child to participate, in activities provided by Destined to Dance Performing Arts Center.
I acknowledge and voluntarily accept the inherent risks normally associated with dance and related physical activities.
I understand that the participant is expected to follow all safety instructions, studio rules, dress-code requirements, and directions given by DTD instructors, staff, directors, guest instructors, and authorized personnel.
I agree to inform DTD of any injury, physical limitation, restriction, or other circumstance that may affect safe participation.
3. INJURY ACKNOWLEDGMENT
I understand that Destined to Dance Performing Arts Center cannot guarantee that injuries will never occur.
To the fullest extent permitted by applicable law, I agree that DTD and its owners, directors, instructors, employees, volunteers, contractors, guest instructors, and representatives will not be responsible for injuries or damages resulting solely from the ordinary and inherent risks of participation in dance and related activities.
Nothing in this agreement is intended to waive any right or responsibility that cannot legally be waived under New York law.
4. MEDICAL AUTHORIZATION
If I or my child becomes injured or experiences a medical emergency while participating in a DTD activity and I cannot be reached immediately, I authorize Destined to Dance Performing Arts Center and its authorized representatives to:
• Provide reasonable first aid;
• Contact emergency medical services;
• Arrange transportation to an appropriate medical facility when reasonably necessary; and
• Provide emergency personnel with relevant information supplied to the studio.
I understand that I am responsible for medical expenses incurred for myself or my child unless otherwise required by law.
Emergency Contact Name: __________________________________________
Relationship: ____________________ Phone: ____________________
Allergies/Medical Information DTD Should Know:
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5. PERSONAL BELONGINGS & LOST ITEMS
I understand that dancers and families are responsible for keeping track of their own personal belongings.
This includes, but is not limited to:
• Cell phones
• Tablets and electronic devices
• Jewelry
• Money
• Dance shoes
• Clothing
• Dance bags
• Costumes
• Uniforms
• Jackets
• Water bottles
• Accessories
• Personal equipment
• Any other personal property brought into the studio or to a DTD event
Destined to Dance Performing Arts Center is not responsible for personal property that is lost, misplaced, forgotten, stolen, or damaged while at the studio or during a DTD class, rehearsal, performance, competition, workshop, trip, event, or other activity, except where otherwise required by law.
Parents and dancers are encouraged to clearly label all belongings and avoid bringing unnecessary valuables to the studio.
6. PARENT/GUARDIAN RESPONSIBILITY
Parents and guardians are responsible for ensuring that children are properly dropped off and picked up according to studio procedures.
Unless otherwise specifically arranged with DTD, parents/guardians are responsible for their child before the child is released into the care of DTD and immediately after the child is released from class, rehearsal, performance, or other supervised activity.
Participants must follow DTD rules regarding appropriate conduct, safety, attendance, attire, equipment, and behavior.
7. TRAVEL, PERFORMANCES & OFF-SITE ACTIVITIES
I understand that DTD may participate in performances, competitions, workshops, conventions, community events, field trips, rehearsals, and other activities away from the regular studio location.
I acknowledge that participation in these activities may involve additional risks associated with unfamiliar facilities, transportation, crowds, performance surfaces, equipment, and other participants.
I voluntarily accept the ordinary inherent risks associated with participation in these activities.
8. AGREEMENT & SIGNATURE
By signing below, I acknowledge that:
• I have read this entire document.
• I understand the inherent physical risks associated with dance and related activities.
• I have had the opportunity to ask questions before signing.
• I voluntarily consent to participation.
• I understand the studio’s personal-property/lost-item policy.
• I understand the emergency medical authorization contained in this agreement.
• I understand that this agreement does not waive rights or responsibilities that cannot legally be waived under New York law.
• I agree to follow all Destined to Dance Performing Arts Center safety rules and studio policies.
I certify that the information provided above is accurate to the best of my knowledge.
Participant/Dancer Name:
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Parent/Guardian Name:
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Parent/Guardian Signature:
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Participant Signature (if 18 or older):
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Date: ______________________________
DESTINED TO DANCE PERFORMING ARTS CENTER
Building Strong Dancers, Inspiring Confident Leaders, Creating Lasting Legacies.
Phone: 516-387-2633
Email: Destined2dance14@gmail.com