Waiver & Release from Liability
I ______________________ (print your name) have chosen to have my child and/ or myself____________________ ( print child’s name and /or your name) participate in dance and movement instruction given by The Joy Ensemble. I acknowledge that I understand the nature of activities myself and or my child will be participating in and that my child and/ or myself is in proper physical condition and capable of participating in related activities, understanding that The Joy Ensemble / Margaret Sikes is not in any way responsible for for making such a determination.
In consideration of my child’s and or myself’s enrollment in any dance instruction movement program, I understand and agree on behalf of myself and/or my child, to release, hold harmless, and discharge The Joy Ensemble, Margaret Sikes and St.Luke UMC from all claims, costs, liabilities, expenses or judgments, including attorney’s fees and court costs for any occurrences in connection with any dance/ movement instruction. I assume all risk to myself and or my child in connection with any instruction and further release The Joy Ensemble, Margaret Sikes and St. Luke UMC and its employees from liability for any injury sustained by myself and or my child while he or she is enrolled in any class or program, including all risks reasonably connected with such activity whether foreseen or unforeseen.
I understand that The Joy Ensemble, Margaret Sikes and St. Luke UMC is not responsible for my child or other children under my supervision who are left unsupervised in the common areas and areas surrounding the dance studio/ chalet and that The Joy Ensemble / Margaret Sikes will only be supervising my child when he or she is participating in scheduled dance activities, programs and instruction.
I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and/ or my child participating in The Joy Ensemble.
I authorize and agree the The Joy Ensemble and St. Luke UMC may take and use photographs, videos or likeness of myself and /or my child as needed for record- keeping, advertising, and /or public relations projects and I have no rights to the same and will not be compensated.
Agreement of Classroom Protocol: I understand that the accepted practice and methodology of professional dance training entails”hands on” and other forms of physical contact with instructors and other students, and that this is necessary for a student to learn at an appropriate pace. I understand that if there is currently, or ever would be, any reason why I or my child should not be touched, that it is my responsibility to inform the instructor and to discuss any related physical or mental issues with them.
My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I am of lawful age and competent to sign this affirmation.
