I hereby certify that I am the parent/guardian of the aforementioned child(ren) and that I am entitled to his/her custody and control and I do hereby give permission for said child to participate in classes at Stepping Out Performing Arts Studio. I further certify that said child is of good health and has no physical or other impediment that would endanger him/her in participating in class room activities. I understand the risk involved in respect to such an activity and so consent to my said child's participation therein.
I fully understand that Stepping Out Performing Arts Studio staff members are not physicians or medical practitioners of any kind. With that in mind, I hereby release Stepping Out Performing Arts Studio staff to render first aid to my child/ward in the event of any injury or illness, and if deemed necessary by the staff, to have authority, at my expense, in the event I cannot be reached, to seek medical help, including transportation whether paid or volunteer, to any health care facility or hospital, and if necessary, I authorize medical treatment. I verify that my child/ward has passed a medical examination within the last twelve months and is capable of participating in the activities of class room dance, competitive dance and gymnastics that is typically associated with Stepping Out Performing Arts Studio activities .
I, the undersigned, hereby agree to indemnify Stepping Out Performing Arts Studio, representatives, and/or employees, from any loss and/or liability, connected with said activity, including, but not limited to, travel to and from the activity.