I have chosen to enroll my child into dance, theater or drumming classes at RestorationART - Youth Arts Academy. I realize that participation in aforementioned classes and activities could involve some personal injury and that despite precautions, accidents and injuries may occur. By agreeing to this text, I/we (the student and parent/guardian) assume all risks related to the use of any and all spaces used by RestorationART - Youth Arts Academy. In consideration of my child's enrollment in RestorationART - Youth Arts Academy programming, I agree to release and hold harmless RestorationART - Youth Arts Academy, including it's teachers, dancers, staff members and facilities used by both entities from any cause of action, claims or demands, now and in the future. I/we will not hold RestorationART - Youth Arts Academy liable for any personal injury or any personal property damage, which may occur on the premises before, during or after programming. Furthermore, I/we agree to obey the program and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by RestorationART - Youth Arts Academy. I understand that RestorationART - Youth Arts Academy is a licensed and insured organization. In the event that I/we should observe and unsafe conduct or conditions before, during or after programming, I/we agree to report the unsafe conduct or conditions to the Director of Youth Arts Academy or the nearest instructor or staff member immediately. My agreeing to this text holds proof of my intention to submit waiver and release of all liability pursuant to all terms. I am in agreement with all terms and conditions stated above. I am of lawful age and agree to all terms above in full competence.
I hereby certify that my child is physically able to participate in all physical activities at RestorationArt - Youth Arts Academy. In the event of illness or injury, I hereby consent to the right of all representatives of RestorationArt - Youth Arts Academy to obtain on my behalf, first aid, medical care, or if necessary, admission to an appropriate health care facility, including but not limited to anesthesia and surgery, if such care becomes necessary for the treatment of any injuries my child may sustain while at RestorationArt - Youth Arts Academy. I also hereby consent to the administration of emergency medical treatment in the event that my child is unable, because of injury, to give consent as otherwise would be necessary. Any qualified medical personnel are hereby notified that this authorization is currently in effect as such personnel are directed to act upon such authorization without delay. I understand that reasonable efforts will be made to contact parents, the student's physician and/or emergency number given by me on this form.