Release of Liability
1. I am not aware of any medical condition my child has which should preclude him or her from participating in any of the activities presented by West Side Dance Studio, LLC. I understand there is a definitive risk of injury associated with dancing and, that such injuries include, but are not limited to bruises, dislocations, broken bones, torn or damaged muscles and ligaments, paralysis, and even death. I understand that such injuries may be caused in whole or in part by the student (my child), or by the actions or inactions of other students or instructors, or a combination of both.
2. In consideration of being accepted for dance instruction by the West Side Dance Studio, LLC, I and my child agree to all of the following, which shall bind me and my child, and also our respective family members, legal representatives, heirs, successors and or assigns.
a. I agree to instruct my child to immediately stop performing any activity if he or she feels any pain, dizziness, light-headedness, or any other symptoms, and to immediately report those symptoms to the instructor. I also agree to instruct my child to carefully follow the instructors' directions, to ask for additional directions if he or she does not understand any particular activity, and to immediately stop any activity which he or she is not competent or confident enough to perform.
b. To the fullest extent permitted by law, I agree and represent that I, and my child, assume the risk and responsibility for any and all injuries to my child that he or she sustains while performing any dance activities, including any and all costs and damages that are a consequence of such injuries, and whether such injuries, costs and damages were caused in whole or in part by the West Side Dance Studio, LLC, West Side Dance Studio students, instructors, or any combination of them.
I have fully read and agree to all of the above, and I, and my child, accept this agreement and the representations herein in order to induce West Side Dance Studio to accept my child as a student for dance instruction.
Limited Use Photographic Release
For and in consideration of my engagement as a student/model by West Side Dance Studio (hereafter referred to as the School) and the Photographer, on terms hereinafter stated, I hereby give the Photographer and the School, their legal representatives and assigns, those for whom the Photographer and School are acting, and those acting with their permission, the right to copyright and / or use, reuse and / or publish, and republish the photographic pictures of me taken during the course of my study at the School or at any School performances.
I hereby waive any right to inspect or approve the finished photograph prior to publication.
I hereby release, discharge and agree to save harmless the Photographer and the School, their representatives, assigns, or any other person or persons, corporation or corporations, for whom they might be acting, including any firm publishing and / or distributing the finished product, in whole or in part, from and against any liability as a result of it's publication or distribution of the same.
I certify that I am suffering under no legal disabilities and that I have read the foregoing release, authorization and agreement, before affixing my signature below, and warrant that I fully understand the contents thereof.
Payment Information
Tuition is due by the first of each month. If accounts are paid after the tenth of the month, there will be a $15.00 late fee applied to the account balance. There is a $25.00 returned check charge for any checks returned by the bank.
