MJDS Parties Waiver
This form is for ALL parents of children attending a MJDS Birthday Party to complete.

Please fill in our Party Waiver and Release Form so that our MJDS team can plan an amazing experience for our attendees and host!

Please remember to wear comfortable clothing, easy to move around in! We cannot wait to see you there!
Who's Party will you be attending? (First and Last Name) *
What is the date and time of the party you are attending?
Your Name *
Your Child's Name *
Your Child's Age *
Emergency Contact (Name, Relationship and Phone Number) *
By reading and checking YES you are agreeing and are aware that you are engaging in activities at Maxi-Jazz Dance Studio that include but are not limited to physical exercise and acrobatics, and use of exercise equipment, studio facilities, training and instruction. These activities could cause injury to you or others. You are voluntarily participating in these activities and assume all risks of injury and liability that might result. You agree to waive any claims or rights you might otherwise have to pursue, Legal or other action against Maxi-Jazz Dance Studio, the facility’s owners, officers, employees, or agents for any reason. You have carefully read this waiver and declare you are sufficiently physically fit for any exercise activities. It is always advisable to consult your physician before undertaking a physical exercise program. *
Required
PHOTOS and VIDEO’s
I give permission for my/my child’s photographs or video, and name (e.g. Y Robinson) to be displayed on the studio website and Facebook from, but not limited to, in class, and events for promotional or advertising purposes. *
Required
INJURY and MEDICAL CONDITION POLICIES and PROCEDURES
4.1 It is the attendees' responsibility to inform their class teacher of any injuries or medical conditions, any injury being treated or that may be a concern during the class, prior to the commencement of class. 4.2 Our Studio has a first aid box which is available to all students through the teacher. Due to government regulations, we are unable to provide any student with Panadol, Nurofen or equivalent medication.4.3 Maxi-Jazz Dance Studio takes no responsibility for any injuries that may occur. It is the Parent or Student over 18 years of age responsibility to provide their own health care insurance. 4.4 In case of an emergency, the staff of Maxi-Jazz Dance Studio will call an ambulance or take my me/my child to an available physician at the expense of the parent/guardian *
Required
Allergies and Medication:
** Does the student have any allergies, illnesses or medication that we should be aware of?** Does the student have any current or had any previous injuries that we should be aware of? If yes, please specify:
COVID and Communicable diseases
I agree that I am personally responsible for my safety and actions while attending Maxi-Jazz Dance Studio. I agree to comply with all policies and rules, including but not limited to Maxi Jazz Dance Studio guidelines, signage, and instructions. With full awareness, understanding, and appreciation of the risks involved, I hereby and forever release, waive, discharge all risk and responsibility during any event or class at Maxi-Jazz Dance Studio, its affiliates, employees, and independent contractors from any and all liability and claims whatsoever directly or indirectly arising out of or related to any loss, damage, or injury, including death, that may be sustained by me related to COVID-19. I agree to honestly and accurately, to the best of my ability/knowledge, complete a Daily Health Screening before entering the studio, until further notice. This is a requirement of all dancers and attendees participating in any activity on Maxi-Jazz Dance Studio property. Despite our careful attention to sterilization, disinfection and social distancing practices, there is still a chance that you or your child could potentially be exposed to an illness on Maxi-Jazz Dance Studio Pty. Ltd. property. Although Maxi-Jazz Dance Studio has taken extra precautionary measures to reduce the possibility for transmission on communicable diseases, there is still a possibility that exposure may occur. Please know that participating in classes, workshops, performances, or activities hosted by Maxi-Jazz Dance Studio Pty. Ltd. are at your own risk. I agree to adhere to Maxi-Jazz Dance Studio Pty. Ltd. safety measures and guidelines to help stop the spread of communicable diseases, including Covid-19, also known as the "Coronavirus" I, for myself and on the behalf of my heirs, assigns, personal representatives, and next of kin hereby release and hold Maxi-Jazz Dance Studio Pty. Ltd. its owner, employees, assistants and/or students, with respect to any and all illness, disability, death or loss of person or property. I have read, understand, and agree to be bound by the above statement. *
Required
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