I hereby give consent for my child to participate in the full Camp N'Ferno (N'Ferno Dance Company) summer program and all activities unless I advise you in writing. I give permission for Summer Progression Classes to use any photograph my child is in for promotional material. To the best of my knowledge, my child is in good health and I will notify the camp if she/he is exposed to any infectious diseases. I further release and agree to indemnity and hold harmless N'Ferno Dance Company, LLC (NFDC) and its officers, servants or assigns from any liability concerning our child's involvement in the Camp N'Ferno / NFDC programs and further agree that the use of all NFDC facilities is made at the risk of the registrant. In case of surgical emergency, I hereby give permission to the physician selected by the camp director, to hospitalize, to secure proper treatment for and to order injection, anesthesia, or surgery for my child, as named on this form. Every effort will be made to contact a parent/guardian in the case of emergency.
I have read and agree to the above terms and should I fail to make the scheduled payments on time, myself or my child(ren) may not be able to participate in any Summer Camp, rehearsals, competitions, performances and/or events affiliated with N'Ferno Dance Company until my financial obligations are satisfied in full. I authorize Clover, Authorize.net or SafeSave (N'Ferno Dance Company affiliated merchant vendor) to initiate debit entries to my checking account indicated above at the financial institution stated above. I attest that all personal information in this contract is true and accurate.