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2020/2021

Required Forms

ONCE per season

Thank you!

 

 

 

 

 

 

 

TODAY'S DATE: April 22, 2021

Form Completion is Valid Through  8/31/21

The express hopes and prayers of the coordinators and planners of this activity are that students learn from this experience how to honor each other, behave in a mature way, have fun and leave this event full of great memories.

By reading the contract below, participant(s) agree(s) to the following terms and understand that a breach of these terms  MAY lead to dismissal from the dance.

Dance Contract

Participant agrees to demonstrate behavior that is both honorable through dress / apparel, speech and actions both on and off the dance floor. Participant understands that the above statement includes the following:

  • Dress Modestly
    • For girls: fingertip-length dresses, skirts & shorts; dark-colored, mid-thigh length spandex leggings required under skirts;no cleavage; no bare midriffs; and no form-fitting clothing of any type.
    • For guys: no sagging of jeans / slacks, no sleeveless shirts.
    • For guys & girls: no clothing with inappropriate slogans, logos, and/or graphics; no torn clothing of any type.
    • T-shirts and/or other coverings will be available if students are inappropriately dressed.
  • Speak Courteously
    • There will be no vulgar speech.
    • There will not be cussing, swearing or using the Lord's Name in vain.
  • Dance Appropriately
    • Physical groping of any kind is not acceptable.
    • Bump and grind and similar dance styles are prohibited.
    • The goal is to enjoy dance without worrying about feeling physically violated.
  • Respect the Chaperones
    • Demonstrate respect to the chaperones / responsible adults of this activity. Chaperones will be addressed as Mr. / Mrs., unless they give permission otherwise.
    • In the event that the chaperones need to correct behavior, an immediate apology is expected in addition to a change in behavior.
    • If behavior continues to be outside of the expressed guidelines, participant may be dismissed from the activity.
  • Practice Safe Hygiene
  • Respect the Facility
    • Respect the grounds and facility of the organization that is hosting this event.
    • Do not deface the grounds and facility in any way; such activity is cause for immediate dismissal from the dance with restitution expected.
    • Should participant need to leave the event for any reason, there shall not be re-admittance to the dance.

"Do you not know that your body is a temple of the Holy Spirit, who is in you, whom you have received from God? You are not your own; you were bought at a price. Therefore honor God with your body." 1 Corinthians 6:19-20

If you are under 18, please be sure to have your parent/guardian complete the remainder of the agreement.

Thank you!

 

Waiver and Release of Liability

I agree that in exchange for The Dance Project, Inc.giving me/my child/ward the opportunity to participate in the dance activities, I give The Dance Project Inc. this Waiver and Release of Liability with the following conditions:

1. Warning of Risk: I realize that participation in dance activities could involve personal injury, permanent disability, or death. Despite precautions, accidents and injuries known or unknown may occur. By signing this Waiver and Release of Liability, I (the participant or parent/guardian) assume all risks related to the dance activites and the use of any and all spaces used by The Dance Project, Inc.

2. Release of Liability: I agree to release and hold harmlessThe Dance Project, Inc., including its members, officers, sponsors, representatives, successors and assigns, any agents or representatives, teachers, dancers, staff members, and facility hosts from:

a. any cause of action, claims, or demands now and in the future, to the fullest extent permitted by law;

b. any personal injury or any personal property damage, which may occur on the premises before, during, or after activities; and

c. any and all claims made or liabilities which arise out of our participation in, or relate to traveling to and from The Dance Project, Inc .activities.

3. Rules: Furthermore, I agree that the participant(s) will abide by the Dance Contract, follow instructions given by representatives of The Dance Project, Inc. and rules of the facility, and take full responsibility for his/her behavior in addition to any damage that may be caused by him/her to the facilities utilized by The Dance Project, Inc.

4. Parent/Guardian: I understand that The Dance Project, Inc.is a registered and insured, nonprofit organization, which means that under state law a parent/guardian may sign this Waiver and Release of Liability on behalf of his/her child/ward.

5. Safety: Should I observe any unsafe conduct or conditions before, during, or after activities at any event hosted by The Dance Project, Inc., I agree to report the unsafe conduct or conditions to The Dance Project, Inc. representative as soon as possible.

6. Certification: I certify that

a. I have read and understand this Waiver and Release of Liability;

b. I intend to be bound by its terms so that my child/ward may participate in activities hosted by The Dance Project, Inc.; and

c. a new Waiver and Release of Liability must be signed every season, even if one is on file from a previous season.


Media Release

I give The Dance Project, Inc. permission to publish in print, electronic, or video format the likeness or image of myself and/or my child/ward.

I release all claims against The Dance Project, Inc. with respect to copyright ownership and publication, including any claim for compensation related to use of the materials.

General Guidelines: It is recommended that a release be obtained when photographing or videotaping a minor (under 18). Parent or guardian signatures are required; signatures of minors are not sufficient. When images are published, The Dance Project, Inc. will  take cautionary steps to provide minimum identifying information and will not use specific street or mailing addresses, e-mail  addresses, or phone numbers. Signed release forms are not needed when subjects are in public places, such as fairgrounds or parks.

 

Consent for Emergency Medical Treatment

I hereby give consent toThe Dance Project, Inc.to obtain all emergency medical or dental care prescribed by a duly licensed physician (M.D.), osteopath (D.O.) or dentist (D.D.S.) for named child/ward. This care may be given under whatever conditions  are necessary to preserve the life, limb and/or well-being of the named child/ward.

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Second Participant's Signature*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Third Participant's Signature*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Tenth Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Please check here to receive information about our upcoming events and other news by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent/ Guardian Involvement in TDP events
Please select at least one community dance where we can count on your help in registration, refreshments and/or as a chaperon. Thank you! *
The Masquerade Dance (Saturday, October 31, 2020)
The BlackLight Dance (Friday, January 15, 2021)
The Medieval Dance (Saturday, April 10, 2021)
The Comic World Dance (Friday, July 23, 2021)
Other Event (Please TYPE in Specific Event BELOW)

Other Event (Specific)
Are you interested in a free tour given by our student members during the last 15 minutes of our next community dance?*
Yes
No
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Which school (if any) does participant currently attend? If none, please select "None (Out of School)".*

School Name (Other)
How did you hear about the dance?*

Please type in the "Other" way you heard about the dance, or share with us a specific name - school, church or business. Thank you!

Event participant(s) and/or parent/guardian agree(s) to Dance Contract, Waiver and Release of Liability, Media Release & Consent for Emergency Medical Treatment (above).


Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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