Birthday Party Release Form
Please complete and submit this form BEFORE attending a party at Rising Stars
Child's Name
Your answer
Birthday Child's Name
Your answer
Mailing Address
Your answer
Contact Number
Your answer
Parent/Guardian Name
Your answer
Email Address
Your answer
Any medical conditions we should be aware of? if yes, please list
Your answer
As the legal parent/guardian I release and hold harmless Rising Stars Studio of Dance, It's owners and operators from any liability, claims, demands and any action whatsoever, arising out of or related to any loss, damage or injury that may be sustained by the participant, and/or the undersigned, while in or on the premises of Rising Stars Studio of Dance, or under the supervision of its owners, operators or teachers. I also give Rising Stars Studio of Dance the right to use my child's photo for their website and other social media outlets
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