I understand that the art of dance and the nature of dance instruction may sometimes require a teacher to touch / correct my child / me. I also understand that this will happen in a caring, gentle, and appropriate manner.
I further acknowledge that training and performing dance is a potentially hazardous activity. I also understand that such activity involves risk of injury and that I am voluntarily participating or voluntarily enrolling my child with the knowledge of the dangers involved. I hereby agree to expressly assume and accept full responsibility for the risks of bodily injury which may be sustained while participating in any activity with Southold Dance Theater.
I also agree that I have read and fully understand the current SDT Guidelines and Policies and that if I choose to participate or to allow my child to participate in any of Southold's activities, such policies would be fully respected.
IN CONSIDERATION for dance instruction or participation in Southold Dance Theater's classes and performances by my child, I release Southold Dance Theater, Inc. the dance faculty, their agents, designees, Board of Directors, or assigns, from any liability related directly or indirectly to my child's participation in any and all events either conducted by or sponsored by Southold Dance Theater, Inc. or its faculty, agents, designees, Board of Directors, or assigns.
I hereby state that I am the parent or legal guardian of the minor child whose name appears above, and herby authorize, in case of emergency, any member of the Southold Dance Theater faculty, or their agents, or designees, to consent to any necessary examination, anesthetic, medical diagnosis, surgery, or treatment, and/or hospital care to be rendered to the below-named minor under the general or special supervision and on the advice of any physician licensed to practice medicine in the State of Indiana.
