Book a Class Trial!
Thank you for choosing to trial a class at MDA! We are very excited to meet you and have fun in class. Please fill out the follow information to book your trial class. Thank you! Miss Kate
Email address *
Parent Name *
Student Name *
Student age *
Parent email *
Parent Phone # *
How did you hear about MDA? *
Class you would like to Trial *
What date are you wanting to trial on? *
Liability Waiver - by clicking "I Agree" you are signing that you acknowledge and agree to these liability terms - Assumption of Risk, Liability & Media ReleaseLiability and Media Release WaiverIN CONSIDERATION OF the services provided by Martelle Dance Academy and the desire of the above named student to participate in class(es) and as a condition to participation therein, the student, for itself, together with their respective parents, guardians, spouses, heirs, executors, successors, and assigns (the "Releasors"):1. Fully and forever waives, releases, and discharges Martelle Dance Academy and its employees, volunteers, hosts and sponsors from any and all liability, responsibility, claims, actions, demands, judgments, damages, expenses, costs, or obligations of any nature whether now known or which may arise or become known later, by any and all individuals, entities, or parties including, without limitation, the Students and/or Releasors or any of them, which accrues on account of, or in any way arises out of or in connection with the school ("Claims"). 2. Expressly grants permission to film, tape, and photograph each of the Students and their classes/performances at the school, and to use and exploit the same solely for and in connection with Martelle Dance Academy, the School and future similar events, on Martelle Dance Academy's website, in advertising and marketing (whether print or on-line), and otherwise in furtherance of the mission and goals of Martelle Dance Academy.3. Agrees to fully and forever defend, indemnify, and hold Martelle Dance Academy harmless from and against any and all Claims or objections to the provisions of Paragraph 2 above, including, without limitation, any and all attorneys' fees, costs, damages, settlements, and/or judgments directly or indirectly arising out of, or relating to the school. 4. Acknowledges it fully understands that participating in the classes at the school involves physical exertion; and accordingly represents that the Students are each experienced and in sufficient good health to participate in the class, and do not have any physical or medical condition that might be impacted or worsened by participating in the class.5. Expressly accepts and totally assumes any and all risk of injury and/or death which accompanies the class and has elected to participate notwithstanding the risks. Participation of the student is purely voluntary. 6. Represents and warrants it has the right and authority to sign this instrument on behalf of the student, and Releasors, and no other instrument is necessary to effect the conditions of participation specified hereinabove. 7. Agrees that this instrument is signed in and governed by the laws of the State of New York. Any dispute arising hereunder or relating to the school will be resolved only in the courts of Allegany County, New York, and consent to the jurisdiction of such courts is hereby granted. This is the full and complete agreement, and this instrument cancels and supersedes all prior representations, warranties, and understandings. 8. Knows of the reliance of Martelle Dance Academy hereon, the Parents/Guardians will cause its Students and the Releasors to adhere to this instrument and its terms, conditions, rights, obligations, covenants, representations, warranties, and other provisions. The undersigned has read the foregoing, fully understands the effect thereof, and intends to legally bind itself, the Students, and the Releasors hereby. *
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