Please read this form carefully...
Be aware that in registering yourself or your minor child in any dance or fitness class at LEADance Alliance Ltd. Co - Power of Praise Dance Academy (hereafter referred to as LDA - Power of Praise Dance Academy), you will be waiving and releasing all claims for injuries you or your minor child might sustain arising from participating in such activities.
I recognize and acknowledge that there are certain risks of physical injury to participants in classes at LDA - Power of Praise Dance Academy, and I agree to assume full risk of injuries, damages, or loss regardless of severity which I or my minor child/ward may sustain as a result of participating in any and all activities at LDA - Power of Praise Dance Academy. Understand that the staff exercises the utmost care in working with the students. Our goal is to provide a family oriented, safe and accident free environment; however, in the event of any injury and certify that I and/or my minor child are physically able to participate in classes and do hereby agree that this business, owners, employers, leadership, assistants or agents are not responsible or liable to me for any injury, accident, or loss of personal property. I, for myself and my minor child, do hereby release this business and its employees, leadership, assistants, owners and agent.s from any claim or cause of action which may have occurred as a result of participation in classes or as a result of any medical problem known or unknown of which I have knowledge presently or in the future. I agree to waive and relinquish all claims that my minor child or I may have against Power of Praise Dance Academy and its owners, agents, employees, ministry leaders, instructors, and assistants as a result of participating in classes at LEADance Alliance Ltd. Co - Power of Praise Dance Academy. I further agree to indemnify and hold harmless and defend LDA - Power of Praise Dance Academy, and its owners, agents, employees, leadership, instructors, and assistants from any and all claims resulting from inj uries, damages and losses sustained by me or my minor child arising out of, connected with, or in any wayassociated with classes at Power of Praise Dance Academy.
In the event of an emergency, I authorize Power of Praise Dance Academy or its agents to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for me or my minor child’s immediate care and agree that I will be responsible for payment of all hospital and medical charges
which are incurred. I recognize and acknowledge that Power of Praise Dance Academy or its agents will not be responsible for honoring specific hospital or healthcare provider preferences.
I have read and fully understand the above Waiver and Release of All Claims and Permission to
Secure Treatment.