RELEASE AND WAIVER OF LIABILITY
The named person in this application is requesting to be enrolled as a student with Starstruck, Inc. and that the student receive instruction in tumbling, cheerleading, tap, ballet, pointe, kick, jazz and hip hop. The requestor is aware that these activities are hazardous activities and that the student could be seriously injured or killed. The student is voluntarily participating in these activities with knowledge of the danger involved and agree to assume any and all risks of bodily injury, death or property damage, whether those risks are now known or unknown.

I ,the requestor, forever releases Starstruck, Inc. and its officers, employees, contractors, agents, consultants, and representatives from any and all actions, claims, or demands that they or the student may now have, or may have in the future, for inquiry, death, or property damage related to the below-named student's participation in the above-described activities or such other ancillary activities of Starstruck Inc. (including all travel and travel accommodations), negligence or other acts (whether directly connected to these activities or not and however caused), and the condition of the premises where these activities occur, whether or not the student is participating in the activities at the time of injury. The requestor and/or student agrees not to make a claim against or sue Starstruck, Inc. or and of it's officers, employees, contractors, agents, consultants, and representatives for any of the matters stated above.

This release and waiver of liability shall be binding upon the undersigned and student's heirs, distributes, guardians, next of kin, spouse, and legal representatives.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS AND CONTENTS. I AM AWARE THAT THIS IS A FULL AND COMPLETE RELEASE OF LIABILITY OF STARSTRUCK , INC. AND I AND THE STUDENT HEREBY ASSUME THE RISKS OF INJURY OR DEATH BY PARTICIPATING IN SUCH ACTIVITIES.

You must choose one the many payment methods available to you and keep up to date payment method on file. When setting up your account you can set 1) ACH Checks for payment 2)debit cards 3) credit card payment. Beginning with the 2020-2021 Season (effective 6/1/19) ALL Tuition payments will be automatically processed on the 1st of the month. If these payment options don't work for you please contact Jill directly to discuss additional options. If no successful payment has been received by the 10th, a $10 late fee will be added to the amount due.

TO ANY DOCTOR OR HOSPITAL: The parent of the above named minor child who is participating in cheerleading, recognize that my child may sustain an accidental injury at a time when I am not present and cannot be contacted: Therefore I nominate and appoint Jill S. Craven, or any other Starstruck, Inc. staff member as my attorney-in-fact with full power and authority, in a situation of urgency, to execute on my behalf such documents of admission to a hospital and or to receive medical treatment as is necessary and to consent to such tests and care as the doctor feels are in my child's best interest under the circumstances. I am granting unto said authority to do and perform each act required and necessary to be done fully as I could if personally present and acting.