DAC

Liability Waiver and Treatment Authorization

(Please print this page on your printer, read it, and sign the bottom.)


I am aware that ballet, tap, jazz, hip hop, lyrical, modern dancing and tumbling activities can place unusual stress on the body and may cause accidental physical injury. I understand and agree that DANCE ARTS CONSERVATORY, INC. and it’s staff will not be liable in any way for injuries or medical expenses incurred by myself or my child during attendance at the school or any related functions. Further, I grant DANCE ARTS CONSERVATORY, INC and it’s staff the authority to authorize any emergency treatment that may be required for my child during the school term.  I have read and understand the above waiver/authorization.


________________________________________________       _______________________________________

Signature of student or parent (if student is a minor)                                                      Date