Liability/Medical/Rules and Regulations
In consideration of the benefits of instruction provided by Wilcox's Pure Energy Dance Productions, for my child(ren), I, Intending to be legally bound to hereby enroll my child named above in the program and do hereby waive claim and release finally the Wilcox's Pure Energy Dance Productions, Katherine (Ellen) Wilcox, its staff, instructors and other personnel from claim or liability for any injury or accident occurring or arising from the instructional program or incidental sponsored activities either on or off premises.
I do authorize emergency first aid care to said student(s) by Wilcox's Pure Energy Dance Productions in the event he/she becomes injured or ill during instructional program or incidental sponsored activities either on or off the premises. If the parents and/or guardians of the child are not immediately available by the telephone numbers provided in this agreement, I further authorize Wilcox's Pure Energy Dance Productions, Katherine (Ellen) Wilcox, or such agents as she may authorize, to retain the services of a doctor or other competent medical person in order to treat the said minor child.
I do realize and agree that said student(s) and parents must comply with reasonable Rules and Regulations set by Wilcox's Pure Energy Dance Productions We understand and approve that violations of said Rules and Regulations may be the basis for termination of this Agreement. Participation in programs, recitals, or demonstrations, etc., will be based on attendance, attitude, ability, and cooperation of the student. All decisions regarding participation in these events will be made by the staff.