I, by checking the box below, represent that I am the minor child's (hereinafter "child") parent or legal guardian. I also represent that I am authorized to sign this waiver. I authorize my child's participating and training in dance and gymnastics at Platinum Dance Center ("PDC") including the use of its facilities, equipment and machinery. I understand and acknolwedge the nature of the activities my child will be involved in at PDC. I understand and acknowledge that participation in dance and gymnastics involves a great than noraml risk of injury and I agree as my child's parent or guardian to assume all risks in connection with my child's participation in dance or gumnastics classes, programs, lessons, meets or competitions. I further understand that participation in dance and gymnastics is potentially dangerous and involves risk of serious injury, even death. Due to the dangers of this activity, I understand the importance of my child's following the teacher's instructions regarding techniques, training, and other rules and agree my child will obey these instructions. In consideration for allowing my child to participate, I assume all the risks associated with the sport of dance. I choose to accept such risks, and I voluntary accept any and all responsibility for my child's safety and welfare while participating in PDC. I understand my child's experience, physical health and capabilities. By checking below, I agree that my child is qualified, in good health, and in proper physical condition to participate in such activities.
In consideration of my child's participation with PDC, with full understanding of the risks involved, I hereby release, waive, discharge, covenant not to sue, and agree to indemnify, save and hold harmless PDC and all of its owners, directors, officers, employees, agents, instructors, contractors, representatives, volunteers and executors (hereinafter collectively referred to as "PDC Representatives"), from any and all liabilities, claims, demands, losses, attorney's fees, damages, action and causes of action whatsoever arising out of or related to any loss, damage, or injury including death, that may be sustained by my child , whether caused by the negligence of PDC Representatives or otherwise while participating with PDC, on behalf of PDC, or upon other premises where PDC activites are being conducted. I agree to take no legal action against PDC or PDC Representatives because of any accident or mishap involving the athletic participation of my child, and I authorize emergency medical treatment for my child should the need arise. This release applies to, including by not limited to, any act or occurrence that is caused by, or alleged to be caused by, by the negligence of PCD including rescue or medical procedures. I further agree that if, despite this release, I, my child, or anyone on my child's behalf makes a claim against PDC, I will indemnify, save, and hold harmless PDC from any litigation expenses, attorney fees, loss, liability, judgment, damage, or any cost that may occur as the result of any such claim.
In any event of an accident or emergency, I authorize PDC and/or any appropriate medical facility to take whatever emergency measures (first aid, disaster evauations, etc.) as judged necessary for the care and protection of my child under under the supervision of PDC. In the case of a medical emergency, I understand that my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency resources (police, rescue squad, first responder, ambulance, etc.) deem it necessary. The child will be transported at my expense. I understand that in some situations, the staff will need to contact the local emergency resource before the parent, child's physician and/or other adult acting on the parent's behalf. I understand and agree that I am responsible for all medical expenses incurred to treat my child's injuries. I further authorize and consent to the use orf disclosure of my child's individually identifiable health information should treatment for illness or injury become necessary. Should my child to be transported to a hospital for medical treatment, I hold Platinum Dance Center and it's representatives harmless for any such expenses. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Platinum Dance Center.