I, the undersigned parent or guardian, so hereby grant permission for my daughter/son,
to participate in the above dance classes. In order that my child may receive the necessary medical treatment in the event that he/she may sustain injury or illness during the period of the above classes, I hereby authorize LDD, to obtain medical treatment for my child for such injury or illness during their involvement with the dance program, including but not limited to the transportation by medical care provider, discussions with physicians, nurses, and other health care professionals regarding the rendering of medical care, medical decisions as recommended by treating physicians, nurses and other health care professionals. I hereby hold the hosting site, as well as it’s representatives, harmless in the exercise of their authority granted by this document.
I further acknowledge and understand that an activity involving motion and height creates a remote possibility of serious injury or death and the named child above may sustain physical illness or injury in connection with his/her participation. I further acknowledge and understand that my child is assuming the risks of such physical illness or injury by his/her participation and I further release the hosting, side, LDD and their representatives from any claims for personal illness or injury that he/she may sustain I further acknowledge and understand that my child is assuming the risks of such physical illness or injury by his/her participation and I further release the hosting, side, LDD and their representatives from any claims for personal illness or injury that he/she may sustain during the program. LDD is not responsible for providing medical insurance for students. Parents are advised to provide proper medical insurance for each child enrolled in classes and LDD events.
Also, I hereby give my permission for my child or myself to be photographed, videotaped, and/or audio taped to be used in print or broadcast media as deemed appropriate for the promotion of any Linda Dobbins Dance activity and for the publicity surrounding participation in any of these events.
I also understand that for liability and insurance reasoning, LDD is recording all classes and privates.
LDD has a website and utilizes its website with digital photographs and/or electronic media sources, and at any point, LDD may publish examples of the dancer(s), group dances and projects, dancer recognition, either on the LDD website or for publication or broadcast without limitation at the discretion of LDD. A dancer’s name and/or photograph may be featured on LDD website and/or television stations, newspaper, or other media. This does not include publication of a Dancer personal information, such as personal residence and phone numbers.
I hereby give and grant permission for my Dancer to participate in the publication of his/her picture, recognitions, and name by LDD and/or media that would reasonably and properly portray the Dancer and/or LDD program, either during competitions, events, or at the dance studio.
Note: By signing the release form, you are agreeing to adhere to the dance program rules.