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Bring your friends and join us for Freestyle Friday! Learn a fun hip hop routine to share with your friends and family. The class is $10 and will be held at our Winchester studio.
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Family Information |
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Students entered below will be added to your family's account
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Additional Information: |
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ASSUMPTION OF RISK
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ASSUMPTION OF RISK AND WAIVER OF LIABILITY
I (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate that severe injuries, including permanent paralysis or even death, as well as other damages and losses associated with participation in the programs or activities at Temecula Dance Company (TDC) can occur in sports or activities including, but not limited to, dance, gymnastics, and tumbling. I (we) knowingly and willingly assume all such risks. Being fully aware of these dangers, I hereby give consent for my child(ren) to participate in any and all TDC programs. In consideration for my child(ren's) participation, I (we) hereby for myself and my child(ren) and our respective heirs, executors and administrators, COVENANT NOT TO SUE and FOREVER RELEASE TDC, the owners, operators, directors, officers, employees and other members of TDC from personal injury or accident of any sort or nature suffered by my children or me (us), the undersigned, by reason of participation or membership in classes, lessons or any programs or activities of TDC including those resulting from acts of negligence. I also assume all medical expenses for the aforementioned child or myself, who may be the result of any injuries sustained while training at, or performing for TDC. Further, it is affirmed that sufficient insurance covering all such injuries and damages shall be in full force and effect throughout the program or it's equivalent throughout the child's/parent's dance participation.
I've read the above and agree.
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MEDICAL AUTHORIZATION AND RELEASE OF LIABILITY
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I, the minor's parent or legal guardian, understand the nature of the activities my child will be involved in at TDC and the minor's experience and capabilities, and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee's from all liability claims, demands, losses, or damages on the minor's account caused or alleged to be caused, in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations. I further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the releasees named above, I will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or any cost that may occur as the result of any such claim.
In any event of an accident or emergency I hereby authorize my child to be transported to a hospital for medical treatment and I hold TDC and it's representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for TDC.
I've read the above and agree.
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PHOTO AND VIDEO RELEASE
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I acknowledge that Temecula Dance Company and other participants may videotape or photograph the Temecula Dance Company Activities and facilities. I agree that Temecula Dance Company may use these recordings in any way without compensation to me including, but not limited to, for marketing purposes and as evidence in any litigation
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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Zip:*
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