Application

 
Dancer's Information
(* Required Information)          
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* (Date mm/dd/yyyy) *    
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Father's Information
 
       
       
Mother's Information
 
       
       
Emergency Contact Information
 
       
Current/Former School Information
 
       
       
Insurance Information
       
   
       
   
   
       
 
Liability: I, the undersigned, understand that Dancing Arts Center, its teachers, directors, pianists, host families, and agents are not liable for personal injuries or loss or damage to personal property. Since dance is a physical activity, injuries may occur. Each student may decline to participate in any activity that may be harmful and is responsible for informing the instructor of any physical limitations that may prevent full participation in class or related activities. I hereby release and hold harmless the Dancing Arts Center, its staff, volunteers, and host families from and against liability or claim for any injury, misadventure, harm, loss, cost, or damage sustained as a result of my child’s participation in the Dancing Arts Center’s classes and activities.
 
Press and photography waiver: I, the undersigned, give Dancing Arts Center permission—in perpetuity and with no compensation—to use any and all photographic images of the above-named dancer, including but not limited to participation in rehearsals and backstage performance environments, for the purpose of publicizing the school’s performances in an medium whatsoever, including but not limited to publicity materials, retail products, school publications, and school online literature and materials.
 
Release for treatment: The staff of Dancing Arts Center has my permission to seek any necessary medical or dental treatment for *(Dancer Name)
(Date mm/dd/yyyy)