CONSENT FORM

 

Student Name_________________________________________________________________________________

Parent Name__________________________________________________________________________________

Emergency Phone Number:_____________________________________________________________________

2nd Emergency Phone Number:_________________________________________________________________

Address:______________________________________________________________________________________

_____________________________________________________________________________________________

I, the parent or legal guardian of ____________________________________, give consent for my child to participate in dance classes at Linda Lee Dance Studio. I acknowldedge and agree that participation subjects the participants to possible physical illness and injury. I understand that Linda Lee Dance Studio does not carry medical insurance for the students. I acknowledge that I cannot hold the studio or its employees liable for any injury that may occur to my child. In the event of such injury, if parent or legal guardian cannot be reached, I authorize Linda Lee Dance Studio to obtain medical treatment.

 

_________________________________________________
Signature / Date

 

I acknowledge that I have read the Linda Lee Dance Studio policy handbook. By signing this consent form, I acknowledge that I understand and accept the rules stated in the handbook.

_________________________________________________
Signature / Date

Click here for PDF copy of form.