Please make your class selections below:
Christian Academy of Dance Release Information
Please initial each segment of this consent form. By doing so you will acknowledge that you have read and understand the terms outlined below. Parent/Guardian must initial if student is under 18.
Consent is granted for the student/performer to be photographed or videotaped. This may be used without compensation in a public presentation.
I hereby consent to participation in Christian Academy of Dance programs. I am aware that all forms of dance and the rigorous exercises associated with it place unusual stresses on the body and carry with them the possible risk of physical injury. I assume this risk and agree that Christian Academy of Dance, its staff, and its related entities (i.e. The Living Rock Church), agents, employees, officers and representative are free from and against any and all claims, demands, actions, judgments which the undersigned, or any other person ever had or may have against Christian Academy of Dance for any losses, costs and expenses (including Attorney’s fees) and damages or injuries known or unknown, real or personal, sustained by me or my shield while in attendance and/or participating in all Christian Academy of Dance programs. The undersigned also agrees that he or she will not hold Christian Academy of Dance responsible for the loss or damage of personal property while in attendance and/or participating in any of these programs.
Dance is an art form that requires teachers to be able to have appropriate physical contact for the purpose of making technical corrections. Consent is granted for such physical contact.
The signature below implies agreement to abide by the rules and policies of the Christian Academy of Dance. This includes, but is not limited to, behavior that exhibits respect to fellow students, the teacher and the facility.
Submitting this form indicates you have read and agree to abide by the policies and procedures listed above as well as agree to pay all assessed tuition and fees that result from registration. Parent or Guardian must submit this form if the student is a minor.