Parent/Guardian/Student over 18: Must Read and Print Name Below
The Academy is not responsible for
student property. Any student destroying or damaging property will be promptly
dismissed. Students/Parents are not permitted to smoke or vape on dance
property.
I hereby authorize and give my full
consent to Debbie Felton’s Academy of Dance and its’ representations and
employer to take photographs and/or video of me, and /or my child(ren) while
attending the Debbie Felton’s Academy of Dance within
the academy or events associated with the dance academy. I further
authorize and give my consent to Debbie Felton’s Academy of Dance to copyright
and/or publish any and all photographs, videotapes and/or film in which I or my
child(ren) appear and also to transfer, use or cause to be used, these
photographs, videotapes, any form of print media, broadcast media, or Debbie
Felton’s Academy of Dance websites without limitations or reserving.
I, the undersigned, acknowledge that I have read the
above paragraph. I agree to be
solely responsible for any and all costs, damages, and expenses incurred by me
and/or my child as a result of any injury sustained from participation in any
classes taken at Debbie Felton’s Academy of Dance, LLC. I further agree not
to hold Debbie Felton’s Academy of Dance, LLC., its staff and/or instructors
responsible in any way for such injury. I agree not to hold Debbie Felton’s
Academy of Dance, LLC. or its staff/faculty responsible for my child or
myself while he/she is not in class.