# FANCY FEET DANCE STUDIO
## Dance Participation Waiver & Release of Liability

**Participant Information**

Child’s Full Name: ______________________________________

Date of Birth: ___________________ Age: _________________

Parent/Legal Guardian Name: ______________________________

Phone Number: __________________________________________

Email Address: __________________________________________

Emergency Contact Name: __________________________________

Emergency Contact Phone: _________________________________

### 1. Acknowledgment of Risks

I understand that participation in dance classes, camps, rehearsals, performances, stretching, acrobatics, crafts, and other activities offered by Fancy Feet Dance Studio involves inherent risks. These risks may include falls, collisions, muscle strains, sprains, and other injuries.

I voluntarily allow my child to participate in these activities and acknowledge that I have considered the potential risks.

### 2. Assumption of Risk

I understand and voluntarily accept the ordinary and inherent risks associated with my child’s participation in dance classes and studio activities, including risks that may arise from physical movement, use of dance equipment, interaction with other participants, and the studio environment.

### 3. Release of Liability

To the fullest extent permitted by California law, I release Fancy Feet Dance Studio, its owners, employees, instructors, and authorized representatives from liability for injuries or damages arising from the inherent risks of my child’s participation, except to the extent caused by negligence or other conduct for which liability cannot legally be waived.

Nothing in this agreement is intended to waive any rights or claims that cannot legally be waived under applicable law.

### 4. Health and Medical Information

I confirm that, to the best of my knowledge, my child is able to participate in the selected activities. I agree to inform Fancy Feet Dance Studio of any relevant medical conditions, physical limitations, allergies, or other needs that may affect my child’s safe participation.

### 5. Emergency Medical Authorization

In the event of an injury or medical emergency, I authorize Fancy Feet Dance Studio staff to contact emergency services and request appropriate emergency assistance for my child if I cannot be reached promptly.

I understand that studio staff are not medical professionals and that I am responsible for medical expenses incurred on behalf of my child, to the extent permitted by law.

### 6. Rules and Safe Participation

I agree that my child will follow instructor directions, studio safety rules, and age-appropriate activity guidelines. I understand that Fancy Feet Dance Studio may restrict or discontinue participation in an activity when reasonably necessary for safety.

### 7. Photo and Video Permission — Optional

Please select one:

☐ **YES:** I grant permission for Fancy Feet Dance Studio to photograph or record my child during studio activities and to use those images or recordings for studio marketing, social media, website content, and promotional materials without compensation.

☐ **NO:** I do not grant permission for my child’s photographs or recordings to be used for promotional purposes.

My choice regarding photographs and videos does not affect my child’s ability to participate in studio activities.

### 8. Parent/Guardian Acknowledgment

I certify that I am the parent or legal guardian of the child named above and have the authority to sign this agreement on the child’s behalf.

I have read and understand this document, have had the opportunity to ask questions, and sign it voluntarily. I understand that this agreement is intended to be legally binding to the extent permitted by applicable law.

**Child’s Name:** ________________________________________

**Parent/Legal Guardian Signature:** ________________________

**Printed Name:** ________________________________________

**Date:** _______________________________________________

**Fancy Feet Dance Studio Representative (if applicable):**
________________________________________________________

**Date:** _______________________________________________