Gotta Dance Summer Classes/Camp Registration
To hold a spot in summer classes and camps, please complete this registration AND submit a $20 deposit. Please pay through PayPal to
Student's First and Last Name
Age as of 9/1/20
Registering for (check all that apply):
Princess Dance Camp 1 (6/14/21-6/17/21)
Princess Dance Camp 2 (6/28/21-7/1/21)
Princess Dance Camp 3 (7/26/21-7/29/21)
Junior Dance Camp (8/2/21-8/6/21)
Intensive Arts Week (8/2/21-8/6/21)
If Summer Classes checked above, which classes (Name, Day, Time):
Both (if applicable) Parent's First and Last Names
Waiver and Liability Release
1. In consideration of allowing participation in Gotta Dance classes, the participant or parent or legal guardian hereby agrees to waive any and all claims or causes of action that the participant has, or may have in the future, due to any personal injury, illness, virus or property damage that might result from participation in any Gotta Dance activity, whether under the supervision of any teacher or by the participant’s own direction.
2. It is further agreed to release Gotta Dance from any and all liability for any loss, damage, injury, illness, virus or expense that the participant may incur, or that the participant’s next of kin may incur, as a result of the participant’s participation in any Gotta Dance activities, due to any cause whatsoever, including negligence or breach of contract on the part of the Gotta Dance, in the operation, supervision, design, or maintenance of the facility or business.
3. By answering the question below agreeing to the Waiver and Liability release and typing your name below, the participant or parent or legal guardian acknowledges and understands that: (1) He/She is aware of the risks, dangers, and hazards of participating in any activity; (2 ) If He/She is over 18 years of age, answering the question below agreeing to the Waiver and Liability Release and typing His/Her name below indicates that the participant has read and understands the language in this Waiver and Liability Release and voluntarily agrees with it. If He/She is not over 18 years of age, the parent or legal guardian answering the question below agreeing to the Waiver and Liability Release and typing His/Her name below indicates that the participant has read and understands the language in this Waiver and Liability Release and voluntarily agrees with it.
BINDING EFFECT OF THE AGREEMENT: In the event of the death or incapacity of the person agreeing to this Waiver and Liability Release by answering the question below agreeing to the Waiver and Liability Release and typing His/Her name below, this Agreement shall be effective and binding upon their heirs, next of kin, executors, administrators, assigns and representatives.
ENTIRE AGREEMENT: In entering into this agreement, I am not relying on any oral or written representations other than what is set forth in this agreement.
By typing your name you agree to the Waiver and Liability Release written above. If student is under 18 years old, a parent or legal guardian must type their own name. If student is over 18 years of age, student must type their name.
Photo and Sound Release
For good and valuable consideration, I hereby grant Gotta Dance, Inc. (the “Company”) the irrevocable right to make and have made, a record, publish, reproduce, use, reuse, and license or authorize others to use photograph(s), video recordings, likeness(es) or recording(s) of me or my voice or in which I appear, including composite or distorted representations (collectively the “Images”), with or without my name or with a fictitious name, for any use and all purposes and in any manner, in all media now known and hereafter discovered and in all countries of the world, including without limitation the right to obtain copyright in the same in the name of the Company. I hereby waive any right I may have to inspect or approve the Images, their use, or any printed or audio matter that may be used in connection therewith.I hereby release, discharge and agree to hold harmless the Company, its staff, and representatives, and all persons in Company activities with any of them, from any claims I may have related to the Images. I acknowledge that I have and will have no monetary claims with respect to the Images. This authorization and release shall inure to the benefit of the Company and its successors, assigns, and licensees. This agreement is in effect until it is withdrawn, in writing, from the person agreeing and typing their name at the bottom of this photo and sound release form.
By typing your name you agree to the Photo and Sound Release written above. If student is under 18 years old, a parent or legal guardian must type their own name. If student is over 18 years of age, student must type their name.
Date you completed this form?
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