(Ideal Class Day)
In agreeing below,I have received, read and furthermore agree to Move With Grace Dance Studios ‘Policies and Procedures’ for 2012-2013I hereby release MOVE WITH GRACE DANCE STUDIOS (a division of MOVE WITH GRACE INC.), all program staff and/or any persons involved with the direction and organization of MOVE WITH GRACE DANCE STUDIOS from all claims for damages arising from an accident or injuries which are caused by or arise from participation by my child, named on this form, in any facility or at any location where MOVE WITH GRACE DANCE STUDIOS is being held. In the event of an accident or illness involving my child while attending MOVE WITH GRACE DANCE STUDIOS, I hereby authorize, if I am not immediately available, the administration of any medical procedure deemed necessary by a physician selected by the program staff. I give permission for my child to be transported to the hospital, with no liability on the driver’s part. An ambulance may be called to transport my child to the hospital if required. I, the undersigned, do hereby consent and agree that MOVE WITH GRACE INC., its employees, or agents have the right to take photographs, videotape or digital recordings of my child in his or her dance class and all dance production and to use these in any and all media, now or hereafter known, and exclusively for the purpose of advertising and promotion. I understand that my child’s name and identity will not be revealed therein or by descriptive text or commentary. I do hereby release to MOVE WITH GRACE DANCE STUDIOS its agents and employees all rights to exhibit this work in print and electronic form publicly or privately and to produce copies. I waive any rights, claims or interest I may have to control the use of their likeness in whatever media used. I understand that there will be no financial or other remuneration for recording them, either for initial or subsequent transmission or playback in perpituity. I also understand that MOVE WITH GRACE DANCE STUDIOS is not responsible for any expense or liability incurred as a result of their participation in this event , including medical expenses due to any sickness or injury incurred as a result. I understand that the facility is not guaranteed to be allergin free and therefor assume all risks for the registrant pertaining to allergies and medical conditions. I understand that I will be billed for a recital costume in addition to the tuition fees for the annual year end performance at a cost of $75.00 for each recreational dance class registered and that a registration fee of $20.00 per student is also applicable at signing. I also understand that I will be responsible for the full annual fee past the October 15th drop/add date for classes (applicable to September registrants only,) and that any cancellation must be made in writing and delivered to Move With Grace Inc. before that date as we committ class hours to the staff at that time. All other registrants are responsible for the full fees of the semester which theyhave registered for. All prices are subject to the applicable taxes for 13% HST on all products and services.