As the legal parent or guardian of my child, or myself, I grant permission to participate in dance classes with Ballet with Cindee Velle at Stonehouse in The Long Reach Community Association, 8775 Cloudleap Court, Columbia, MD 21045. In the event my child becomes ill or injured while participating in this activity, I hereby authorize and consent to the rendering of any reasonable emergency medical treatment due to the illness or injury stemming from my child's involvement in the activity. While the instructor and/or Ballet with Cindee Velle will make their best efforts to contact me as quickly as possible, I understand, agree and consent to allow emergency medical treatment to be administered to my child as quickly as possible, regardless of whether I have been successfully contacted.
In consideration of the permission granted by the Parent or Legal Guardian to allow the above named student to participate in this activity, I do hereby expressly agree, on my own behalf and on behalf of my child, to release the instructor and its affiliated organizations, Ballet with Cindee, LLC and The Long Reach Village Association, employees, contractors, representatives and volunteer from any and all liability, actions, causes of action, damages, claims, or demands of whatever kind or nature which I or the above-named child may have against, or could have against, any of the persons or entities herein before listed in this document. This includes, but is not limited to, any injuries or illnesses sustained by my child, known or unknown, anticipated or unanticipated, which arise from, or are in any way are related to, the above-named child's participation in this activity. I give permission for photos taken of my child or myself in this activity to be used fro promotional purposes.
I have read and fully understand the terms of this Release. I hereby execute the release voluntarily and with full knowledge of its legal significance.
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Signature of Parent/Guardian Participant's Name Date