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LIABILITY RELEASE/WAIVER FORM
All participants MUST complete this form
All participants and students must complete this form before participating in any classes at Arunodhaya Foundation. If a participant is under age 18, a parent or guardian must also sign this form.
Admission to class and/or rehearsal will not be granted if this form is not received prior to class and is not properly signed.
Waiver of Liability
I recognize and understand the risks of physical injury inherent to dance and dance training and I fully assume those risks. I hereby release Arunodhaya Foundation, event sponsors, employees and dance teachers from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, or performances. I agree to indemnify, defend, and hold harmless Arunodhaya Foundation, employees and dance teachers for liabilities, costs and judgments arising from acts of omissions committed by me or my child which result in injury or damage to any person or property.
Protection of Property
I understand and agree that it is my sole responsibility to safeguard my personal property while attending or participating in any classes, rehearsals, workshops, or performances. I hereby release Arunodhaya Foundation, its affiliate dance studios, rental properties, event sponsors, employees and dance teachers from all liability for loss or damage to my personal property while attending or participating in classes, rehearsals, workshops, or performances.
I also agree to abide by any rules, regulations and policies set forth by Arunodhaya Foundation.
Medical Attention
In case of physical injury or medical emergency, I hereby authorize Arunodhaya Foundation to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that Arunodhaya Foundation will attempt to notify the person(s) I have named below as my emergency contact(s) of my condition and how to reach me.
Photo Release
Arunodhaya Foundation reserves the right to use photographs and videos taken during classes, workshops, performances, or other affiliated events for the purposes of instruction, advertising and promoting Arunodhaya Foundation and its programs. Students, or parents of students who are minors, who do not wish to comply with this policy must notify Arunodhaya Foundation prior to participation in class.
Acknowledgement of Waiver
In signing this Release, I acknowledge and represent that I have fully informed myself of the content of the waiver and hold harmless agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed; no oral representations, statements, or inducements, apart from the written statement, have been made. I further state that there are no health-related reasons or problems which preclude or restrict my or my child’s participation in this activity, and that I will pay any medical costs that may be attendant as a result of injury to me or my child.
Electronic Signature
The electronic signature below and its related fields are treated by Arunodhaya Foundation like a handwritten signature on a paper form. I acknowledge that I have read and understand Arunodhaya's Liability and Waiver above and understands that my child or adult student is taking classes at his/her own risk and agrees to hold Arunodhaya Foundation, its instructors, and/or assignee harmless in the event of any physical injury to the student. and certify that the information provided is correct. It is my responsibility to advise the Foundation immediately of any changes in information stated on this form. I further state that I am at least eighteen (18) years of age and am fully competent to sign this agreement; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same.
*
Indicates required field
Printed Name of Parent/Guardian
*
First
Last
Printed Name of Participant
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact Name and Phone Number (if different from parent)
*
Submit
HOME
ABOUT US
ABOUT US
OUR TEAM
OUR PROGRAMS
BHARATHANATYAM & BOLLYWOOD
REGISTRATION
Registration Form
One-on-One Lessons Registration Form
EVENTS
FAMILY FUN NIGHT 2023
Recital Photos
NAVARATRI CELEBRATION 2018
Annual Navaratri Celebration RSVP
DIWALI CELEBRATION 2018
VOLUNTEER OPPORTUNITEES
CONTACT US