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Registration $25.00
Thursday, June 29 2017
6:00pm-9:00pm
Friday, June 30, 2017
6:00pm-9:00pm
Lyrical Ballet,
Jazz,
Hip Hop.
Bring your favorite nut-free healthy snacks;
Water and drinks will be provided
Workshop requires at least 10 participants. You will be notified in the event we have to cancel due to low participation.
Please Note: In the event that the workshop is canceled you will be issued a full refund.
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Family Information |
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Students entered below will be added to your family's account
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Additional Information: |
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Waiver Release
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I ASSUME FULL RESPONSIBILITY AND RISK OF BODILY INJURY FOR THE STUDENT ENROLLED AT REIGNING VICTORY DANCE STUDIO. OUR STAFF EXERCISES THE UTMOST CARE IN WORKING WITH THE STUDENTS. OUR GOAL IS TO PROVIDE A SAFE AND ACCIDENT FREE ENVIRONMENT; HOWEVER, IN THE EVENT OF ANY INJURY, I RELEASE REIGNING VICTORY DANCE STUDIO AND THE INSTRUCTORS FROM ALL LIABILITIES. I HAVE READ AND VOLUNTARILY SIGN THIS RELEASE FORM.
I've read the above and agree.
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Photo Release
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I ASSUME FULL RESPONSIBILITY AND RISK OF BODILY INJURY FOR THE STUDENT ENROLLED AT REIGNING VICTORY DANCE STUDIO. OUR STAFF EXERCISES THE UTMOST CARE IN WORKING WITH THE STUDENTS. OUR GOAL IS TO PROVIDE A SAFE AND ACCIDENT FREE ENVIRONMENT; HOWEVER, IN THE EVENT OF ANY INJURY, I RELEASE REIGNING VICTORY DANCE STUDIO AND THE INSTRUCTORS FROM ALL LIABILITIES. I HAVE READ AND VOLUNTARILY SIGN THIS RELEASE FORM.
I/WE CONSENT TO THE USE OF MY CHILD'S IMAGE: SUCH USE MAY INCLUDE ALL RVDS PUBLICATIONS (PRINT, ONLINE, VIDEO, ETC). THE PHOTOGRAPHS WILL HIGHLIGHT THE STUDENT(S) DEMONSTRATING EITHER LEARNING TECHNIQUES AND/OR PARTICIPATING IN WORKSHOP ACTIVITIES.
I've read the above and agree.
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Medical Release
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I ACKNOWLEDGE, UNDERSTAND, AND ASSUME ALL RISKS INVOLVED IN ANY ACTIVITIES ON THE PREMISES OF REIGNING VICTORY, LLC SITES, INCLUDING BUT NOT LIMITED TO DANCE/DRUMMING/PHYSICAL FITNESS ACTIVITIES.
I FURTHER AGREE TO HOLD HARMLESS REIGNING VICTORY DANCE STUDIO, LLC THE OWNERS OR STAFF TEACHERS, FROM ANY AND ALL CLAIMS, SUITS, LOSSES, OR DAMAGES OF ANY NATURE WHAT SO EVER, INCLUDING BUT NOT LIMITED TO, SUCH CLAIMS THAT MAY RESULT FROM MY CHILD'S INJURY OR DEATH, WHETHER IT BE ACCIDENTAL AS A RESULT OF NEGLIGANCE OR OTHERWISE, DURING OR ARISING IN ANY WAY FROM THE DANCE/CHEERLEADING/TUMBLING PROGRAMS.
I HEREBY GRANT PERMISSION TO LICENSED HOSPITAL AND/OR STAFF MEMBERS TO ADMINISTER IMMEDIATE MEDICAL TREATMENT AS DEEMED NECESSARY TO MY CHILD SHOULD HE/SHE BE INJURED DURING ANY EVENT HE/SHE IS LEFT IN THE CARE OF REIGNING VICTORY, LLC STAFF. FURTHER, I UNDERSTAND THAT I AM
RESPONSIBLE FOR PAYMENT OF EXPENSES INCURRED RELATING TO MY CHILD'S MEDICAL TREATMENT.
I've read the above and agree.
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Exp Year: *
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