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Family Information
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Student Email:
School:
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Grade Level:
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preschool
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Unknown value
Disabilities (Leave blank if NONE):
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Student Email:
School:
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Grade Level:
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preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
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Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Questions/Options:
Does your child have any allergies?
Additional Information:
Liability Waiver
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I ("I", "me", "Participant"), have elected, on a voluntary basis, and, if I am under the age of 18, with the acknowledgement and permission of my parents or legal guardians (individually and collectively referred to herein as "Guardian"), to participate in dance and other athletic performance-related activities (individually and collectively, "Activities") for which I am registered with Skyra Studios, LLC ("Company"), which may include, without limitation, participation in Skyra Studios Classes and/or events to be named subsequent to the date hereof (individually and collectively, "Events"). I and my Guardian hereby represent and warrant that: (i) I am aware that participation in the Activities presents certain risks, (including, without limitation, brain injury, severe bodily harm and/or death) and I am aware that equipment problems and human error can contribute to or cause such injuries; (ii) I am aware that my risk of injury may be increased if I suffer from conditions that may be affected by physical exertion, and I represent and warrant that I am in good health and do not suffer from any such condition(s) (including, but not limited to neck, back, heart problems and pregnancy); (iii) no representations of any kind have been made to me by Company or Company's employees or personnel regarding my ability to participate in the Activities; and (iv) my participation in the Activities is not employment and is not subject to any union or collective bargaining agreement, and does not entitle me to wages, salary, corporate benefits, unemployment or workers' compensation benefits, or other compensation. I knowingly and voluntarily assume all risks associated with the Activities, and I and my Guardian unequivocally agree to incur and assume such risks as a condition to my participation in the Activities. I represent and warrant that I have reviewed this waiver ("Waiver") with my Guardian and I have obtained the permission of my Guardian to enter into this Waiver, as evidenced by my Guardian's signature/s. I and my Guardian agree and acknowledge that this Waiver is applicable to all Company Classes, Events and all Activities in which I participate at anytime, and is a perpetual Waiver for all such Classes, Events and Activities. I understand that Company from time to time produces audio-visual programs, promotions, and other materials relating to its Classes, Events, Activities, and Services. I and my Guardian hereby grant Company and its agents, successors, assigns and licensees the perpetual right to use my name, likeness, biographical information, photographs, voice, personal characteristics, and other personal identification (collectively "Likeness") and any digital, videotape, sound and audio-visual recordings in any way (collectively "Recordings") in any and all manner and media, now known or hereafter devised, throughout the world, for any and all purposes including, without limitation, in productions and in connection with the advertising and promotion of productions and/or Company, provided that Company is under no obligation to exercise any of the foregoing rights. In order to induce Company to register Participant in Company's Classes, Events, Activities and in consideration for Participant's opportunity to participate in the Activities, I and my Guardian hereby waive all claims (past, present or future), release and discharge, covenant not to sue, and agree to indemnify and hold harmless Company and all of its sponsors and advertisers, all venues at which the Classes and Events are held, all other persons and entities connected with the Events, the respective parents, subsidiaries, affiliated entities, licensees, successors and assigns of each of the foregoing, and each of their respective directors, officers, employees, agents, contractors, partners, shareholders, representatives and members, and each of their respective heirs, next of kin, spouses, guardians, legal representatives, executors, administrators, successors,
I've read the above and agree.
Agreement of Participation
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I understand that dance classes may include, without limitation, dancing with props, stretching, barre work, across the floor combinations, dance routines in the center, and other related activities. I further understand that all the activities of the dance class involve some degree of risk of strain or bodily injury. Skyra Studios, LLC is not responsible for personal property. I agree to be responsible for reading studio correspondence and respecting deadlines, if applicable. I hereby acknowledge that I have read the statements above and agree to participate accordingly.
I've read the above and agree.
INDEMNIFICATION AND RELEASE
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I am the parent or guardian of (the "Student"), who desires to attend the Skyra Studios, LLC (Skyra Studios) at 249 W SR 436, Suite 1033, Altamonte Springs, FL. 32714 or Skyra's online virtual classes through Zoom. The Program includes dance, acting, art, fitness, music, and filmmaking training and education activities, as well as performance activities at locations on and off-campus and online. I understand that, although Skyra Studios, LLC will attempt to maintain the Program as described in its publications, brochures, website and conversations, it reserves the right to make reasonable changes or modifications to the Program, including but not limited to the class schedule, curriculum, faculty and staff, co-curricular and extra-curricular activities, and services. I/we are fully familiar with the intended activities and demands of a rigorous dance training program, including both the physical fitness expectations and the inherent and unavoidable risks of injury and harm, and I/we represent and warrant that the Student is able to participate fully in the Program's activities, that no health professional has advised us of any risks or conditions that would limit or impede the Student's full and safe participation, that I/we are not aware of any medical or other conditions which would limit the Student's full and safe participation in the program, and that I/we understand and accept the inherent and unavoidable risks of injury and harm that may occur due to the Student's participation in this Program. I/we agree further that if the Student sustains any injury or illness prior to the commencement of the Program, we shall advise Skyra Studios promptly in writing so that an assessment can be made whether the Student can participate in the Program. I, therefore, consent to my child's participation in the Program, and I further consent to my child's participation in any other activity taken in connection with the Program. I/we accept responsibility for medical expenses (including treatment, medical devices, emergency room visits, ambulances, and hospitalization, whether or not covered by insurance) for any injuries or illness that the Student may sustain or experience while participating in the Program; and warrant that (if applicable) the Student will provide proper identification and information to secure medical insurance coverage; and that I/we will promptly reimburse fully Skyra Studios and/or any of its employees who advance costs to secure medical treatment for the Student. I/we hereby grant permission for the Student to receive emergency medical treatment as appropriate during participation in the Program as may be authorized by an adult member of the Program staff. I/We grant permission for the Student to receive onsite physical therapy treatment in some cases as authorized by an adult member of the Program Staff. I/we understand that if the Student has to take prescription medication or receive scheduled medical treatment, we shall notify the Program in writing, and shall consult with the Program as to appropriate arrangements. It is not the responsibility of the Program to make such arrangement. I/we understand and agree that during the course of the Program, the Student may be photographed and/or videotaped during program activities or performances, and I/we grant to Skyra Studios an unrestricted right to use in any form the image, picture, likeness, voice, and/or name of the Student for all Skyra Studios promotional materials including brochures, newspaper articles, books, and/or film, television and for commercial purposes. I/we acknowledge that the Skyra Studios student handbook has been received and read, and agree to adhere to the policies therein. INDEMNIFICATION Furthermore, I hereby agree to indemnify and hold harmless Skyra Studios and/or the agents, employees, and directors of this institution (collectively, the "Indemnified Parties") for any loss, claim, damage, suit, costs or expenses, including attorneys' f
I've read the above and agree.
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