Dancer Information

Parent/Guardian Information

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by the Castilla School of Irish Dance during the selected camp. In exchange for the acceptance of said child’s candidacy by the Castilla School of Irish Dance, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Castilla School of Irish Dance. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against  the Castilla School of Irish Dance. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Castilla School of Irish Dance, and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

CONFIDENTIALITY/INTELLECTUAL PROPERTY:

As Irish dancing is a competitive field, each school has its own choreography, exercises, workshops, fees and class structure. All choreography, routines, practice techniques, and intellectual material is the sole property of Ciara Duignan, the Castilla School of Irish Dance (CSID) and affiliates, and may not be shared outside of our school’s membership. I acknowledge that dancers may be videotaped or photographed by instructors or their representatives for posterity, for educational or promotional purposes. Recorded materials will not be shared with third parties without express permission. I agree that any recorded materials that I capture will not be shared with third parties without express permission. I agree that neither my dancer or I will post unauthorized photos or videos or share CSID content via social networking sites or the like. I have read and understand the confidentiality and intellectual property policy, and I agree to keep all choreography, practice techniques, instructor information and CSID business files and practices confidential.

Photo Consent

I hereby consent to the use of and grant to the Castilla School of Irish dance the right to use, for the purposes of promoting the school's programs or services, any photographs taken of the minor specified above while they attend the daycamp program may be used for future publications & promotions. I grant such consent as parent and/or guardian to the above minor pursuant to Section 17(2)(a) of the Freedom of Information and Protection of Privacy Act. I understand no other personal information about the minor will be released by Castilla School of Irish Dance without my permission.

Confirmation

I declare that I have read, understood and agree to the contents of the Daycamp Informed Consent Form in its entirety.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

**PLEASE NOTE 

We will need a minimum of 4 dancers to hold the ceili camps, if we don't have this numbers we will have to cancel the class, and fees will be reimbursed. Thank you for your understanding!