PERMISSION SLIP AND RELEASE FORM

 

WAIVER AND RELEASE: I agree that STUDIO 9 DANCE ACADEMY, LLC, (“S9DA”), along with its owners, faculty and staff shall not be held liable for any injuries, damages, or losses sustained by me or my child/children which are in any way related to participation in activities sponsored by S9DA. I assume all risks and accept full responsibility for any injuries, damages, or losses my child/children may incur in connection with our decision to participate in any and all activities sponsored by S9DA. I agree to release S9DA from any and all liability due to my child’s/children’s participation.

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I understand that, from time to time, S9DA may capture photo / video data of its programs for use in promotional materials. I give my consent for the use of any photo / video data that may contain my child / children’s image(s).

 

As a parent or legal guardian on the student’s listed above, I understand the waiver and release and am in full acceptance of the conditions written therein.

 

I hereby state that I am freely allowing my child/children listed above to participate in S9DA activities.

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