|
|
|
|
| | |
|
|
Registration includes BOTH DAYS of the intensive.
|
|
Event: |
|
|
Start Date/Time: |
End Date/Time:
|
|
Fee per Student:
|
Room:
|
|
* - denotes required fields |
|
Family Information |
|
|
|
| | | |
| | | |
|
Students entered below will be added to your family's account
|
|
Add New Student #1:
(Show-Hide Details)
|
|
Add New Student #2:
(Show-Hide Details)
|
|
Add New Student #3:
(Show-Hide Details)
|
|
Add New Student #4:
(Show-Hide Details)
|
|
Add New Student #5:
(Show-Hide Details)
|
| | | |
|
Additional Information: |
|
| | | |
|
Release of Liability and Waiver
(Show-Hide Details)
RELEASE AND WAIVER OF LIABILITY CROSBY DANCE ACADEMY
Please read this agreement carefully! This is a legal document that affects your legal rights!
For the purposes of this agreement "Academy" refers to Galloway Productions, LLC, formerly knowns as GalRay Productions, LLC, a Texas limited liability company d/b/a Crosby Dance Academy. "Participant" refers to the individual enrolled or participating in the Activities (as defined below) and the Participant's parent or guardian if the Participant is less than 18 years of age.
The Participant named above desires to engage in the activities and any related ancillary activities (collectively, the "Activities") provided by Academy. The Activities may include, but are not limited to, dancing, stretching, conditioning, tumbling, running, jumping, crawling, leaping, or spinning and turning.
RELEASE AND WAIVER: The Participant releases and forever discharges and holds harmless Academy and its members, managers, officers, employees, agents, successors, and assigns (collectively, the "Released Parties") from any and all liability or claims that the Participant (or the Participant's heirs or assigns) may have against any Released Party with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Activities. THE PARTICIPANT UNDERSTANDS AND ACKNOWLEDGES THAT THE CLAIMS BEING RELEASED UNDER THIS RELEASE AND WAIVER OF LIABILITY INCLUDE, WITHOUT LIMITATION, CLAIMS, IF ANY, BASED ON OR IN ANYWAY RELATED TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF ANY RELEASED PARTY. The Participant also understands that no Released Party assumes any responsibility for or obligation to provide financial assistance or other assistance in the event of injury or illness. The Participant releases and forever discharges each Released Party from any claim whatsoever which arises, is alleged to arise, or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Activities.
ASSUMPTION OF RISK: The Participant understands that the Activities may be hazardous to the Participant. The Participant expressly and specifically assumes the risk of injury or harm in the Activities.
Photographic Consent and Release: The Participant agrees that the Academy and its agents may, at the Academy's discretion, take photographs of the Participant during the Activities. By signing this waiver, Participant consents to the photographs being taken by Academy and its agents. Further, Participant grants and conveys to Academy all right, title, and interest in any and all photographic images of Participant made by Academy or its agents during the Activities, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
Texas Law: Participant expressly agrees that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that it shall be governed and interpreted in accordance with the laws of the State of Texas.
Severability: Participant expressly agrees that if any one or more of the provisions contained in this Release and Waiver of Liability are held to be invalid, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Waiver and Release of Liability, which shall otherwise continue to be enforceable.
I've read the above and agree.
|
|
|
Medical Emergencies
(Show-Hide Details)
As the legal parent or guardian, I give permission to Crosby Dance Academy, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.
I've read the above and agree.
|
|
|
Photo/Video Release
(Show-Hide Details)
In conjunction with my participation I give permission for CDA to take and use photos and/or video of me or my child without remuneration in connection with studio publications, website, social media, and advertising.
I've read the above and agree.
|
|
|
Other Disclaimers
(Show-Hide Details)
No refunds will be provided. We reserve the right to refuse service for any reason. CDA is not responsible for lost or stolen items.
I've read the above and agree.
|
|
| | | |
|
Other Questions/Comments: |
|
| | | |
|
Credit Card Verification: |
|
|
|
|
|
Card Number: * |
|
|
|
Name as it appears on card: * |
|
|
Nickname:
|
|
|
Card Expiration Month: * |
Exp Year: *
|
|
|
Address Line 1:
|
Address Line 2:
|
|
City:
|
State:
Zip:*
|
| | | |
|
Please Wait...
|
|
| |