Dance waiver form signed electronically- an easy-using tool to handle waiver.

WAIVER AND RELEASE OF ALL CLAIMS
The undersigned, in her/his capacity, as well as on behalf of the Student, both of his /her Parents and Guardians, recognizing the risks of illness and injury inherent in any dance program (1) acknowledges and agrees that the Student is participating upon the express agreement that illness and/or injury may occur; and (2) agrees to herby release, indemnify and forever discharge Power Up Dance Center, its employees, agents, directors, officers, stockholders, sponsors, and volunteers, and their respective heirs, personal representatives, administrators, predecessors, and assigns ("indemnities") from any all action, cause or causes of action in law or in equity, suits debts, contracts, agreements, promises, liability claims, demands, damages, loss, cost or expenses of any nature whatsoever, known or unknown, which the undersigned, in her/his capacity, as well as on behalf of the Student both of his/her Parents/Guardians has had, could have, or may have, own or hold against any of the Indemnities by reason of the Student's participation in the Dance Session or any other Power Up Dance Center program or event, except for illness or injury resulting from gross negligence or willful misconduct on the part of any of the indemnities. I hereby agree to execute and deliver this Waiver and Release to induce Power Up Dance Center to permit the Student to participate in the Dance Session and other Power Up Dance Center programs and events. I hereby grantPower Up Dance Center and its authorized designees permission to administer first aid and/ or call 911 in case of a medical emergency affecting the student. I acknowledge and understand that Power Up Dance Center will attempt to first notify parents and guardians in case of an emergency. 
Photo Release
Power Up Dance Center and Staff of Club Energize is hereby granted permission to take photographs and video of the students to use in social media, brochures, posters, advertisements, and other promotional materials the school creates. Permission is also hereby granted for the school to copyright such photographs in its name. The release will allow us to videotape our Showcase as well as record in class footage to share video for students to rehearse choreography.

Failure to agree to either condition above will result in the inability to complete registration and enrollment.


Please enter your name.
Please enter valid date.
Please enter your email.
Please enter your phone number.
Please enter your email.
Please enter valid date.
Please select one here.
Please enter address.
Click to sign
Please sign here.
Click to sign
Please sign here.
Please enter your answer here.
Please enter valid date.