EMERGENCY MEDICAL TREATMENT PERMISSION 

I hereby authorize National Ballet Academy New York and its agents to obtain emergency medical care that may be reasonably necessary for my child in the course of dance instruction or travel to dance activities. I understand that National Ballet Academy New York will make every attempt to contact me regarding treatment of my child prior to implementing emergency medical treatment. Payment of all charges incurred for medical treatment is guaranteed by me or by the insurance company listed above providing coverage for the above named student. In case of emergency, I give permission for emergency medical treatment. 

Disclaimer: By completing the registration the applicant, parent/ guardian(s) jointly and severally herby forever releases, discharges and acquits National Ballet Academy New York from any and all contracts, claims, suits, actions or liabilities both in law and in equity specifically arising from, relating to or otherwise described as and limited to participation in any class including damages or injuries arising from or resulting from participation. I understand that National Ballet Academy New York reserves all right of all video and photography taken of my child while participating in any National Ballet Academy New York activities. This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representative.