Release and Authorization Indicated in the space below are any health problems or conditions of which the studio should be aware (such as heart, back, medical, allergy, muscular, pregnancy, diabetes, epilepsy, chemical or neurological condition, special medication, knee/kidney/shoulder problems, etc.). I understand that risk of injury is inherent in any physical activity and I, on behalf of myself and my child, knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, hereby waive and release Spot On Dance Studio and its staff from any and all claims or damages of any kind arising out of my child’s participation in the dance program of Spot On Dance Studio. I further certify that the aforementioned student is in proper physical condition to participate in the dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do hereby authorize Jazlyn Hyder or her designated agents (being teachers or administrators employed by Spot On Dance Studio) to obtain medical treatment for my said child in emergency situations where I cannot be reached in time to authorize the treating physician to provide such emergency medical services. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Spot On Dance Studio responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year from the date signed below. I am electing for my child to participate in the Classes at Spot On Dance Studio. I understand that Spot On Studio has been approved by the Tri-County Health Department to operate these classes. I have been informed of all the "Best Practice Implementation" guidelines that Spot On Dance Studio will be strictly enforcing and expecting all participants to adhere to. I understand and acknowledge that despite Spot On Dance Studio doing everything in their power to maintain a clean and healthy environment, there is still an inherent risk for my child to be exposed to COVID 19 by participating in the classes at Spot On Dance Studio and convent to participating at my own risk. *
