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PeerPositivePOWER
Arts Enrichment Program

Application
Sex
Which days will they attend?
Parent Type
Parent Type
Authorized to Pick Up
Authorized to Pick Up

To participate in the PeerPositivePOWER ARTS AFTER SCHOOL Enrichment Program, I understand that my child will be required to have special items, supplies and attire for the instructional programs. I further understand that my child will be required to participate in various productions, performances, showcases, recitals and/or exhibits, and as a result must obtain various needed items for the event.

Five Essential Rules

(1) Respect everyone.

(2) Participate to the best of your ability.

(3) Learn something new and improve every day.

(4) Respect the learning environment.

(5) Be prepared and on time.

 

Liability Waiver

I/we realize that participation in dance classes, including activities, acting, and voice could involve some kind of personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the student/dancer and parent/guardian) assume all risks related to the use of any and all spaces used by The Music in Me Foundation International. I/we agree to release and hold harmless The Music in Me Foundation International, including its owners, teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands, now or in the future. I/we will not hold The Music in Me Foundation International liable for any personal injury or any personal property damage, which may occur on the premises before, during, or after classes. I understand the risk associated with this activity such as illness, including exposure to Covid-19 and will not hold The Music in Me Foundation International responsible in the event of contagious illness exposure. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by The Music in Me Foundation International. I/we agree to allow The Music in Me Foundation International to photograph and/or videotape me or my child at any Music in Me Foundation event for the use of advertising and literature for The Music in Me Foundation International . This is included, but not limited to: in the studio, performances, competitions, workshops, conventions, and fundraisers. No compensation will be allotted for the use of these photographs or videotapes.

I grant permission to the staff of The Music in Me Foundation International to take first aid or emergency measures as judged necessary for the care and protection of my child while under the supervision of the studio. In case of a medical emergency, I understand that my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the emergency unit deems it necessary. I understand that in some medical conditions the staff will need to contact the emergency resource before the child's parent, physician, and or other person acting on the parent’s behalf. I also understand and agree that the child’s parents or legal guardians shall be responsible for any expenses incurred.

By signing this form I am also acknowledging that I have read and understand, and agree to abide by, the policies and procedures outlined in the “Our Policies” packet that I received along with this form.

By signing this form, I agree to abide by all dress code requirements and I understand that, if my child is not in proper dress code, they may not be able to participate in part or all of class.

 

Thank you! Your application was recieved

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