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Sam Allen is a Los Angeles based choreographer. His choreography credits include the musical production of In the Heights, TV commercials for Nike, Canon, Doritos, and Almond Breeze, as well as music videos and live tours for artists such as Sofia Carson, Mya, Keith Urban, and Klee Shinn. Sam charges $40/dancer.
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Risk and Waiver of Liability
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Yes, my daughter/son/ward has my permission to attend master classes at Imperium House of Dance Inc.
To the extent permissible by law, I/we hereby release, discharge and/or otherwise hold harmless and indemnify Imperium House of Dance Inc., it's owners, officers, directors, teachers, employees, and associated personnel, from and against any and all demands, claims, and causes of action arising, directly or indirectly, from my or my child's/ward's participation in its classes and/or programs. THIS RELEASE SPECIFICALLY INCLUDES ANY DEMANDS, CLAIMS AND CAUSES OF ACTION ARISING OUT OF THE PAST OR FUTURE NEGLIGENT ACTS AND/OR OMISSIONS OF IMPERIUM HOUSE OF DANCE INC. , IT'S OWNERS, OFFICERS, DIRECTORS, TEACHERS, EMPLOYEES, AND ASSOCIATED PERSONNEL.
I've read the above and agree.
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Marketing Release
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Occasionally Imperium House of Dance Inc. uses photos and/or videos of its students in social media, its website, or other marketing mediums. I understand that my child's likeness may be used in such advertising. These images will be used for Imperium House of Dance Inc. purposes only and will not be given or sold to outside companies or individuals.
I've read the above and agree.
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Parent/Guardian Signature
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I have read and understood the RISK AND WAIVER OF LIABILITY, MEDICAL AUTHORIZATION, MARKETING RELEASE, AND AGREEMENT OF POLICIES. In addition, I confirm that I am the parent/legal guardian of the is registrant(s).
I've read the above and agree.
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