I give my permission
for my son/daughter to participate in the Jus’Dance Academy @ Just the Place,
Inc. programs and performances. I understand that although the students will be
supervised by staff, I do assume the risk in my student’s participation in this
program. By signing your name below as a participant, and/or parent / legal
guardian of a student at Just the Place, Inc. I acknowledge that I will not
seek to have Just the Place, Inc., officers, directors, employees, agents,
consultants, independent contractors and affiliates held liable in the event
that any accident, injury, loss of property or any other circumstance or
incident occurs during or as a result of my son’s/daughter’s participation in
this program. This release of liability includes accident, injury, loss, or
damages to the student, as well as, to other individuals or property which may result
from the student’s participation in this program. I hereby release and agree to
hold Just the Place, Inc. its officials, agents and employees, from any claims
arising out of my son’s/daughter’s participation in this program. I have read
and understand and accept all of the statements above and accept full
responsibility as described.
I understand that my child’s participation in the
activity requires following ALL studio rules as well as exhibiting acceptable,
appropriate behavior at all times. I acknowledge that I have reviewed with my
child the rules and requirements established for this activity; all policies
and procedures; rules of conduct set forth in the Student Code of Conduct, and
that they understand the need to abide by them in order to participate.
should never be left unattended at any time. Please do not drop your child off
any earlier than 10 minutes before class and all students must be picked up
promptly after class.
acknowledge that you have read and fully understand the injury waiver and
General Release Form. This agreement shall be binding on you, your spouse, your
children, legal representatives, heirs, successors and assigns.