Cheer Clinics

~ Cheer Clinics ~

Pay for Clinic Here

Child Reservation for May 6th Clinic

* Indicates required field

Have you Paid to Reserve Your Spot? *

Yes No

Name of Participant *

Email *

Parent Contact Phone Number *

• The undersigned parent/guardian or participant hereby holds harmless Momentum Dance Arts LLC , its owner, its employees, and/or its contractors from all manner of suits, actions, demands, and liabilities which may arise from my participation and the participation of my minor child in any physical activity, dance class, rehearsal, performance, event, etc. I understand that this waiver constitutes a full and complete waiver of all possible claims, including claims for negligence, personal injury, property damage, and loss of property arising out of my or my minor child's participation in dance rehearsal, performances, events, etc. I've read the above "Medical Waiver" and agree to the terms. • Momentum Dance Arts LLC is a “hands on” learning environment. To properly teach placement and demonstrate dance techniques physical interaction is often used. This is normal practice and necessary for teaching of dance. I parent/guardian understand this, and I give my consent for this type of teaching. • Momentum Dance Arts LLC has the right to use all photos and videos that are taken during classes, performances, and any other event organized by the studio even if my child is no longer a student under contract with Momentum Dance Arts LLC. These photos and or videos may be used, but are not limited to flyers, website, social media, and any other form of advertising/marketing that may present itself. I understand and agree that Momentum Dance Arts LLC may or may not use my name in conjunction with the photographs. I hereby release and discharge representatives, assignees, and staff from any and all claim and demands arising out of or in connection of publicity and defamation. This release shall be binding upon my heirs, legal representatives, my assigns and me. This agreement embodies the entire agreement of the parties’ dancer, photographer, videographer, and Momentum Dance Arts LLC. *

I Agree to The Terms Above & My Child Will Participate

Parent Name *

First

Last

Submit

~ Cheer Clinics ~

Child Reservation for May 6th Clinic

Join Our dance and Cheer family today!

Telephone

address