FANCY FEET DANCE ACADEMY
PARTY PARTICIPATION & LIABILITY WAIVER

Thank you for celebrating with Fancy Feet Dance Academy! We want every dancer and guest to have a fun, safe, and memorable experience.

Please read the following carefully and complete the required information before participating in a Fancy Feet Dance Academy party.

PARTICIPANT INFORMATION

Child’s Name: ______________________________________________

Child’s Date of Birth: _______________________________________

Parent/Guardian Name: ______________________________________

Phone Number: _____________________________________________

Email Address: _____________________________________________

Party Date: _________________________________________________

ASSUMPTION OF RISK

I understand that participation in a dance party or related activities may involve physical activity and inherent risks, including but not limited to slips, trips, falls, collisions, muscle strains, sprains, or other injuries.

I understand that activities may include dancing, movement activities, games, use of props or equipment, and other recreational activities.

I voluntarily allow my child to participate in the party and understand that participation is not without risk.

RELEASE AND WAIVER

In consideration of my child being permitted to participate in activities at Fancy Feet Dance Academy, I, on behalf of myself and my child, agree to release and hold harmless Fancy Feet Dance Academy, its owners, employees, instructors, contractors, volunteers, and agents from claims arising from my child's participation in the party, to the extent permitted by California law.

This release is intended to apply to claims resulting from ordinary negligence to the extent such a release is legally enforceable. It does not release claims that cannot legally be waived under applicable law.

MEDICAL AUTHORIZATION

I understand that Fancy Feet Dance Academy is not responsible for providing medical treatment.

In the event of an emergency, I authorize Fancy Feet Dance Academy staff to obtain reasonable emergency medical assistance for my child if I cannot be reached promptly. I understand that I am responsible for any resulting medical expenses.

Emergency Contact Name: ___________________________________

Emergency Contact Phone: __________________________________

Relationship to Child: ______________________________________

MEDICAL & ALLERGY INFORMATION

Please list any allergies, medical conditions, physical limitations, or other information that Fancy Feet Dance Academy should know about:

Allergies: __________________________________________________

Other Important Information: _________________________________

PHOTO & VIDEO RELEASE

I understand that photographs and/or videos may be taken during Fancy Feet Dance Academy activities.

Please select one:

☐ YES, I give Fancy Feet Dance Academy permission to photograph and/or record my child and use the images or video for promotional, social media, website, advertising, or other studio-related purposes.

☐ NO, I do not give permission for my child to be photographed or recorded for promotional purposes.

PARTY RULES

I understand that participants are expected to follow the instructions of Fancy Feet Dance Academy staff and behave in a safe and respectful manner.

Fancy Feet Dance Academy reserves the right to ask a participant to stop an activity if staff believe the participant's behavior creates a safety concern for themselves or others.

ACKNOWLEDGMENT

By signing below, I acknowledge that:

I am the parent or legal guardian of the participant named above, or I have legal authority to sign this waiver.
I have read and understand this waiver.
I understand the nature of the activities and the potential risks involved.
I voluntarily give permission for my child to participate in the Fancy Feet Dance Academy party.
I have provided accurate emergency and medical information.
I understand that this agreement is intended to be interpreted under the laws of the State of California, to the extent permitted by law.

Parent/Guardian Signature: ___________________________________

Printed Name: ______________________________________________

Date: ______________________________________________________

Child’s Name: _______________________________________________