As legal guardian of , I recognize that potentially severe injuries, including but not limited to permanent paralysis or death can occur in sport activities involving height or motion, including but not limited to gymnastics, tumbling, dance, and cheerleading. Being fully aware of these dangers, I voluntarily consent to the aforementioned person participating in any and all Dynamic Dance programs and activities and accept all the risks associated with this participation.
In consideration for allowing my child to use this facility, I on my own behalf of my child and our respective heirs, administrators, executors and successors, herby forever release and covenant not to sue Dynamic Dance, directors, employees, volunteers and all others associated with Dynamic Dance from all liability for any and all damages and injuries suffered by my child while at Dynamic Dance or under the instruction, supervision, or control of Dynamic Dance.
In the event of an emergency, I would like my above mentioned child to be taken to a hospital for medical treatment and I hold Dynamic Dance and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible medical expenses which may be incurred by my child as a result of any emergency or injury, sustained while participating at or for Dynamic Dance.
I have read and understand this acknowledgement of risk and waiver of liability and medical authorization and voluntarily affix my name in agreement.