• Consent to Participate

    Bella Ballerina Northern Virginia
  • STUDENTS WILL BE UNABLE TO PARTICIPATE IN A STUDIO EVENT WITHOUT A SIGNATURE.  A RELEASE MUST BE COMPLETED BEFORE THE START OF EACH EVENT WITHOUT EXCEPTION.

     

    Acknowledgement of Risk:

    I/we realize that participation in dance classes and dance activities could involve possible personal injury.  Despite precautions, accidents and injuries may occur.  By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Bella Ballerina and Bella Bambina, Inc.  I/we agree to release and hold harmless Bella Ballerina and Bella Bambina, Inc., including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future.  I/we will not hold Bella Ballerina and Bella Bambina, Inc. liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes.  Furthermore, I/we agree to obey the class and facility rules and takes full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Bella Ballerina and Bella Bambina, Inc.  I understand that Bella Ballerina, and Bella Ballerina, Inc. are licensed, accredited and insured organizations.  In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Executive Director, Artistic Director, instructor or staff member as soon as possible. 

    Photography/Video Permission:
    Permission is granted to Bella Ballerina and Bella Ballerina Franchising, Inc. to use photographs and videos of students for publicity purposes in both print, online, and TV/Radio ads.

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