SUMMER REGISTRATION FORM

PLEASE PUT YOUR DANCER'S NAME FIRST and THEN PARENT'S EMAIL!

* Required fields
Name *
E-mail Address *
Today's Date *
Dancer's Full Name *
Address *
City *
State *
Zip Code *
BIRTH DATE *
Age *
GENDER *
PRONOUN *
HOME PHONE *
CELL PHONE *
WORK PHONE *
Parent's / Guardian's Name (es) *
I am signing this waiver for the following students: (Please list all student's names in the space below) *
The Following are the policies set forth by To The Pointe of Performing Arts, it's Directors, Owners, and Staff. All dancers and Guardians must abide by these rules in order for them or their children to participate in dance lessons and performances at To The Pointe of Performing Arts Inc. *

I understand & agree
I acknowledge that I am aware that there are risks to my child of exposure to directly or indirectly arising out of, contributed to, by, or resulting from: An outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof; In consideration of having the opportunity to participate in classes at TTP *

I understand & agree
I acknowledge that I am aware that there are risks to my child of exposure to directly or indirectly arising out of, contributed to, by, or resulting from: An outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof; In consideration of having the opportunity to participate in classes at TTP *

I understand & agree
and in acknowledging that I am aware of and willing to assume the risks associated with this activity, I hereby voluntarily agree to waive, hold harmless and indemnify To The Pointe of Performing Arts Inc. and its trustees, agents, volunteers and employees from any and all claims, demands, damages and causes of action of any nature whatsoever arising out of ordinary negligence which I, my heirs, my assigns or successors may have against them for, on account of, or by reason of participation *

I understand & agree
To The Pointe has a strict non-fraternization policy which does not allow owners, staff members, or trainees to participate in "after hours" activities such as babysitting, driving, car-pooling, tutoring, or fraternizing in any way with students under 18 years of age. Staff members who participate in these activities will be terminated. Students who participate in such activities will be asked to leave the studio. *

I understand & agree
If I do not follow the fraternization policy, I am aware that I may be asked to leave the studio due to non-compliance of TTP's Fraternization policy. *

I understand & agree
I or my child have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my or my child's participation in this activity or event. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity *

I understand & agree
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I or my child is physically fit, have sufficiently prepared or trained for participation *

I understand & agree
I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this waiver, release and registration form from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. *

I understand & agree
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. Please sign below by typing Parent or Guardian's Name *
PARENT / GUARDIAN WAIVER FOR MINORS: The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the activity, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify all parties listed. Sign below to agree *
I give permission for myself or my child to be photographed and give permission for any photos of my child to be used for advertisements, social media posts, website postings, and newsletters. (We do not post pictures with names) *
PAID TUITION FOR SUMMER Intensives, Camps, Recreational Classes, & Workshops is NON-REFUNDABLE or TRANSFERABLE for ANY REASON *

I understand & agree to this policy
I have read and agree to the Privacy Policy *