Birthday Party Waiver Form

Birthday Party Waiver Form
I am attending a birthday party for:

First Name Last Name
Date of birthday party:

Month Day Year
Date
Waiver

Please complete waiver/information below. Thank you for joining us at RSDE!
Rosemary's Dance Enterprises, Inc. and Rosemary's School of Dance Education, it's instructors, other staff members and the corporate officers both paid and volunteer will not accept responsibility for injury/illness sustained by any student during the course of dance, camp, private lessons or in the course of any exhibition, competition or clinic in which he or she may participate or while traveling to or from the event. With the above in mind and being fully aware of the risks involved, I consent to have my child(ren) participate in the programs offered by Rosemary's Dance Enterprises, Inc. and Rosemary's School of Dance Education. I, my executors, or other representatives waive and release all rights and claims for damages that I or my child(ren) have against Rosemary's Dance Enterprises, Inc. and Rosemary's School of Dance Education/or it's representatives paid or volunteer. I also affirm that I now have and will continue to provide proper hospitalization, health and accident insurance coverage which I consider adequate for my child's and my own protection. I also understand that it is the parent's responsibility to warn the child of the danger of dance related injuries. The parent should warn the child according to what the parent feels is appropriate. I fully understand that the Rosemary's Dance Enterprises, Inc. and Rosemary's School of Dance Education staff members are not physicians or medical practitioners of any kind. With that in mind I hereby release the Rosemary's Dance Enterprises, Inc. and Rosemary's School of Dance Education staff members to render temporary first aid to my child or children in the event of injury or illness and if deemed necessary by the Rosemary's Dance Enterprises, Inc. and Rosemary's School of Dance Education staff to call their doctor and seek medical help and if deemed necessary for the calling of ambulance for said child(ren). Covid-19 policies are listed on our website. We value our dance community and in order for us to stay open, we need every dance family to adhere to guidelines and protocols at all times. The safety of our staff, dancers and families is our number one priority. We are in this together!
Dancer *

First Name Last Name
Address (if not a current RSDE Student)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birthdate *

Month Day Year
Date
Emergency Contact/Guardian *

First Name Last Name
Contact/Guardian Phone Number *
Please enter a valid phone number.
Contact/Guardian Email
example@example.com
Guardian Signature *

Clear
Should be Empty: