I hereby represent and warrant that if the participant is a minor, I am his/her guardian and authorized to provide the releases, authorizations, and permissions as stated below and all information above is accurate and complete. I hereby give permission for the applicant to participate in all program activities, including field trips in approved vehicles and agree to release Artistic Dance Xpressions, its officers, employees, and agents, from all liability arising from any harm or injury incurred by the participation of my child in the program stated above. Unless otherwise indicated by a parent/guardian in writing at the time of registration, photographs of participants for use in advertisements and publications may be taken while participating in the program activities. No personal information other than the participant's first name will be released under any circumstances except as required by law. By way of copy of this form, I authorize the staff of Artistic Dance Xpressions to obtain medical/hospital treatment for the above participant in the event of an emergency.
If participant is 17 or under: