Friday Drop-in / Make-up Form
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Email *
Name: First and Last *
Phone Number *
Please enter as xxx-xxx-xxxx
Are you 18 years of age or older? *
Please enter as xxx-xxx-xxxx
Waiver of Liability
  • I understand that there are risks of physical injury associated with, arising out of, and inherent to dance, private lessons, and all other activities at Dance Theatre Studio. By signing this Waiver of Liability, I declare that the aforesaid participant is in good health, with no physical conditions that might prevent his/her/my participation in strenuous and rigorous activities.  I hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury to my child, myself, or the minor child for whom I am a legal guardian, arising out of active participation in the activities at Dance Theatre Studio on behalf of the participant.
  • In recognition of this acknowledged risk of injury, I hereby indemnify, release and forever hold harmless Dance Theatre Studio, its officers, agents, members, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (collectively, “Dance Theatre Studio”), from any and all claims of liability arising from any accident, personal injury, death, or property loss or damage sustained by my child, myself, or the minor child for whom I am a legal guardian, while that person is participating in activities connected with Dance Theatre Studio, including online classes.  This Waiver of Liability is intended to be as broad and inclusive as is permitted by the laws of the State of Michigan.
  • Further, I understand and acknowledge that because of the physical nature of activities at Dance Theatre Studio, there may be proper physical contact between directors, employees, staff, company members, instructors and students during class instruction. I understand that at times for proper instruction and safety, physical contact is required and necessary.
  • If I am a parent and/or legal guardian signing this document releasing Dance Theatre Studio from any and all such liability described above, I have informed the minor that they are knowingly and voluntarily assuming all risks of injury inherent to this activity.  The participant has my permission to participate in Dance Theatre Studio activities and events.  
  • I have carefully read this Waiver of Liability and fully understand its contents. I understand that I am assuming a risk and releasing Dance Theatre Studio of all liability.  I have signed this Waiver of Liability of my own free will.

Covid-19 Waiver
  • The undersigned agrees, represents, and warrants that neither the undersigned nor participating children will visit or utilize the facilities, services, and programs of the Dance Theatre Studio if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19.
  • The undersigned fully understands and appreciates both the known and potential dangers of utilizing the facilities, services, and programs of the Dance Theatre Studio and acknowledges that use of the facilities, services, and programs by the undersigned and/or participating children may, despite the Dance Theatre Studio's reasonable efforts to mitigate such dangers, result in exposure to COVID-19 or other infectious diseases, including but not limited to influenza and MRSA, which could result in quarantine requirements, serious illness, disability, and/or death.
Policies and Information
  • I recognize that various photographs, video recordings, and other promotional material may be created by Dance Theatre Studio.  I consent to the use of my and/or my child’s name and likeness in perpetuity, whether in photographs, film, videotape, or otherwise, for the purpose of promoting Dance Theatre Studio, its business and products, and the business and products of its affiliates and subsidiaries.  I further acknowledge that I will receive no compensation for the use of my and/or my child’s name and likeness.
  • I agree that I will not use any photograph, video recordings, or other media created on Dance Theatre Studio’s premises without express consent from the owners of Dance Theatre Studio, including but not limited to posting such media on the internet. 
  • I acknowledge that Dance Theatre Studio reserves the right to cancel or reschedule any class or lesson due to insufficient enrollment.  I further acknowledge that Dance Theatre Studio reserves the right to change instructors when necessary.
  • I further acknowledge that Dance Theatre Studio will not offer refunds after the initial two-week period for group classes.  Dance Theatre Studio reserves the right to deduct the costs of any completed classes and processing fees from any offered refunds.   This non-refund clause encompasses all activities at Dance Theatre Studio except for private lessons.
  • I recognize that Dance Theatre Studio requires a 24-hour notice of cancellation for any private lesson, and a failure to attend or provide 24-hour notice of cancellation will result in Dance Theatre Studio charging for the full lesson.
  • I have carefully read the Policies and Information and fully understand its contents.
Check the box if you agree to the Waiver and Policies
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