INFINITY DANCE COMPANY LLC. WAIVER FORM AND RELEASE
Without this form, participation will be prohibited.
I do hereby acknowledge that I intend to participate in Infinity Dance Company LLC. audition, camp, clinic, program, classes or competition. I also acknowledge that I will be doing so of my own free will.
I as parent of the above, acknowledge my child's desire to participate in Infinity Dance Company LLC. audition, camp, clinic, program, classes or competition. We acknowledge that the Infinity Dance Company LLC. instructors will behave prudently in the instruction of dance skills in an effort to avoid accidents and/or injuries from occurring. We realize that participation in athletic endeavors entails the risk of injury to the participants. We accept this risk regardless of the nature of the injury and/or the athletic endeavor in which they will participate.
We acknowledge that the term "athletic endeavor" as used herein includes any dance related activity including, but not limited to drills, tricks, stunts, choreography, jumps and gymnastics.
We also waive and absolve Infinity Dance Company LLC. the coaches, advisors, sponsors, parent volunteers, or other volunteers, the staff and/or volunteers of any of the venues in which we practice or play, or anyone or more of them or their executors, administrators, heirs, next of kin, successors or assigns, of and from any and all liability and responsibility for injuries, sickness, accidents, and/or natural occurrences during participation by myself/my child in the Infinity Dance Company LLC. audition, camp, clinic, program, classes or competition and/or any other Infinity Dance Company LLC. related activity.
We understand that each participant is responsible for his or her own personal health, medical, dental, chiropractic, and accident insurance coverage.
Acknowledgement
I, the parent/guardian of the participant, a minor, certify by agreeing to these terms that the above information is correct and grant permission for the participant to participate in the Infinity Dance programs. I also agree that I and the participant will abide by the rules and regulations of Infinity Dance Company LLC. as outlined in the Infinity Dance Handbook. I have read and agree to abide by all Infinity Dance Company LLC. policies. I understand that Infinity Dance Company LLC. reserves the right to refuse instruction to anyone not abiding by Infinity Dance Company LLC. policies.
Agreement
I hereby release Infinity Dance Company LLC. from all liability or legal responsibility that may arise from the acts that I have authorized or commented to herein. I have carefully read and understand the terms and conditions of this section.
I understand that participation in a dance, camp or tumbling program involves risk and possible injury. I understand that Infinity Dance Company LLC. and its staff will not be held responsible for injuries sustained in class, while performing or traveling to or from its facilities. I authorize Infinity Dance Company LLC. to secure any emergency medical treatment my child might need.
We, intending to be legally bound, do hereby, my heirs, executor, and administration, waive, release, and forever discharge any and all rights and claims for damage which I may have or may hereafter accrue to me or my child against Infinity Dance Company LLC., the coaches, advisors, sponsors, parent volunteers, or other volunteers, the staff and/or volunteers of any of the venues in which we practice or play, for any damages which may be sustained or suffered by me or my child in connection with my association with or participation in, or rising out of travel to and/or return from any Infinity Dance Company LLC. related site or activity affiliated with Infinity Dance Company LLC.
Acknowledgement
I, the parent/guardian of the participant, a minor, certify by agreeing to these terms that the above information is correct and grant permission for the participant to participate in the Infinity Dance programs. I also agree that I and the participant will abide by the rules and regulations of Infinity Dance Company LLC. as outlined in the Infinity Dance Handbook. I have read and agree to abide by all Infinity Dance Company LLC. policies. I understand that Infinity Dance Company LLC. reserves the right to refuse instruction to anyone not abiding by Infinity Dance Company LLC. policies.
Agreement
I hereby release Infinity Dance Company LLC. from all liability or legal responsibility that may arise from the acts that I have authorized or commented to herein. I have carefully read and understand the terms and conditions of this section.
I grant Infinity Dance Company LLC. irrevocable permission to use my child's image and visual likeness in all forms and media for advertising, trade, and any other lawful purpose. I agree that all right, title and interest in and to all such images and any reproductions or derivative works shall be the exclusive property of Infinity Dance Company LLC. I agree that Infinity Dance Company LLC. does not owe me any compensation for the acts that I have consented to in this section.
We acknowledge during this Infinity Dance Company LLC. audition, camp, clinic, program, classes or competition pictures may be taken of participants, which may include my child/me. We authorize Infinity Dance Company LLC. to use pictures of my child/me for promotional purposes only.
We acknowledge during this Infinity Dance Company LLC. audition, camp, clinic, program, classes or competition performances of participants may be recorded, which may include my child/me. We authorize Infinity Dance Company LLC to use performances recorded that may include my child/me for promotional purposes only including but not limited to Time Warner Cable's Access on Demand.
Acknowledgement
I, the parent/guardian of the participant, a minor, certify by agreeing to these terms that the above information is correct and grant permission for the participant to participate in the Infinity Dance programs. I also agree that I and the participant will abide by the rules and regulations of Infinity Dance Company LLC. as outlined in the Infinity Dance Handbook. I have read and agree to abide by all Infinity Dance Company LLC. policies. I understand that Infinity Dance Company LLC. reserves the right to refuse instruction to anyone not abiding by Infinity Dance Company LLC. policies.
Agreement
I hereby release Infinity Dance Company LLC. from all liability or legal responsibility that may arise from the acts that I have authorized or commented to herein. I have carefully read and understand the terms and conditions of this section.
Infinity Dance Company LLC. use electronic documentation which may permit or require you to (1) provide an electronic signature when you complete or review a document and/or (2) submit documents electronically.
ELECTRONIC SIGNATURE
This Acknowledgement and Certification of Understanding ("Acknowledgement") is to let you know that by submitting an electronic signature, you are
providing an electronic mark, that is held to the same standard as a legally binding equivalent of a handwritten signature provided by you. For purposes of the acknowledgement, a digital mark is considered a typed legal First and Last name (legal name may include middle name, initial or
suffix) followed by the typed date. Any document requiring an electronic signature may contain a signature acknowledgment statement provided in the same area requiring the electronic signature.
Agreement
By signing this Acknowledgement, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
Certification of Understanding
I also understand, acknowledge, agree and certify that:
• I accept my responsibilities in the use of electronic signatures as described on this form.
• My execution of any form of an electronic signature function performed on an Infinity Dance Company, LLC platform to be the legally binding
equivalent of my traditional handwritten signature, and that I am accountable and responsible for actions performed under such an electronic signature.
Infinity Dance All Star Competition Team tuition rates are for the full season (including studio holidays). After registering (paying annual registration fee and refundable security deposit), monthly tuition (June-May) must be paid by automatic credit card or debit card payment or bank draft. Tuition will be debited from your account (or charged to your credit card) on the 1st day of each month. If there is an outstanding balance after the 14th of the month, a $25 late fee will apply each day thereafter until paid in full. Costume fees will be paid by automatic bank account debit or automatic credit card payment on June 15th, August 15th and October 15th.
Monthly Classes - Tuition and Costume Fees
Tuition rates are based on minutes of class instruction (including studio holidays), not the number of classes in the month. After registering (paying annual registration fee), monthly tuition must be paid by automatic credit card or debit card payment. Tuition will be debited from your account (or charged to your credit card) on the 1st day of each month. If there is an outstanding balance after the 14th of the month, a $25 late fee will apply each day thereafter until paid in full. Recital costume fees will be paid by automatic bank account debit or automatic credit card payment on October 15th and January 15th.
Camps, Clinics, Private Instruction, Special Events and Facility Rental - Fees
Camps, clinics, private instruction, special events and facility rental will require registration (paying annual registration fee, if applicable) and full payment at time of registration. Payment must be paid by automatic credit card or debit card payment.
I acknowledge that Infinity Dance LLC. has a no refund policy in effect for all classes and teams.
I acknowledge that it is Infinity Dance LLC. studio policy to only allow credit up to 5 classes in a dance calendar year June-May at director's discretion.
I acknowledge and agree to pay all amounts accrued and owed to Infinity Dance Company LLC.
I authorize Infinity Dance Company LLC. to charge my debit/credit card and/or bank account on file for amounts owed to Infinity Dance Company LLC.
Acknowledgement
I, the parent/guardian of the participant, a minor, certify by agreeing to these terms that the above information is correct and grant permission for the participant to participate in the Infinity Dance programs. I also agree that I and the participant will abide by the rules and regulations of Infinity Dance Company LLC. as outlined in the Infinity Dance Handbook. I have read and agree to abide by all Infinity Dance Company LLC. policies. I understand that Infinity Dance Company LLC. reserves the right to refuse instruction to anyone not abiding by Infinity Dance Company LLC. policies.
Agreement
I hereby release Infinity Dance Company LLC. from all liability or legal responsibility that may arise from the acts that I have authorized or commented to herein. I have carefully read and understand the terms and conditions of this section.
