San Antonio July 15-17 Step 1 of 4 25% Student Legal Name* First Last Nickname/Preferred Name Age*Gender*FemaleMaleNon-binaryOtherPrefer not to sayName of Parent or Guardian*If over 18, list your emergency contact First Last Parent/Guardian cell phone*Parent/Guardian email* Enter Email Confirm Email Current Dance School* My student received a scholarship through Joffrey Texas. Yes No Masks policies will be based on the Covid climate at the time of the event.*Do you agree to wear a mask if it is required? Yes No Have you attended a Joffrey Texas event before?* Yes No Read this whole page. If you understand and agree to the contract, sign at the bottom. Joffrey Texas Waiver of Liability and Hold Harmless Agreement In the consideration of Joffrey Texas providing the opportunity for and permitting the undersigned (Participant) to participate and take part in Joffrey Texas and its related activities, the undersigned Participant and Parent of the Participant, do hereby release, remise and forever discharge, indemnify and agree to HOLD HARMLESS WAIVE, DISCHARGE, and COVENANT NOT TO SUE Joffrey Texas, its officers, employees, faculty, instructors, servants, agents and assigns, hereinafter referred to as RELEASEES, from any claim, demand or cause of action whether now in existence, or hereafter arising for any loss of personal property, injury to the Participant or for the death of the Participant, arising out of resulting from, caused by or contributed to in whole or in any part by any action or failure to act, negligence, breach of contract, or other misconduct on the part of Joffrey Texas, its officers, faculty, agents, servants, employees, (RELEASEES) any other Participant in said workshop, any participating parent and/or any one or more of any thereof. We recognize and acknowledge that certain risks of harm are or may be inherent in the various activities contemplated herein and that Joffrey Texas cannot control all of these risks. We are aware that ballet training and the gymnastic exercises associated with it place unusual stress on the body and carry with them the risk of physical injury. I / We assume the risks involved. I / We also understand that dance instruction involves kinetic correction that may include physically touching the student (Participant) as part of the regular class work and/or rehearsal. I / We assume the risk and agree that Joffrey Texas faculty have permission to engage in appropriate kinetic correction of the body for technical corrective purposes as part of regular class work and rehearsal. It is my/our express intent that this Release and Hold Harmless Agreement shall bind the members of my/our family if I am alive, and my heirs, assigns and personal representative, if I am not alive. It shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Texas. I UNDERSTAND THAT JOFFREY TEXAS WILL NOT BE RESPONSIBLE FOR ANY MEDICAL COSTS ASSOCIATED WITH ANY INJURY OR ILLNESS THAT I OR MY CHILD MAY SUSTAIN. I / We also understand that I / we should and am / are urged by RELEASEES to obtain health and accident insurance to cover any personal injury to me / my child (Participant), which may be sustained. I / We agree that I or my child (Participant) will adhere to the Rules and Regulations promulgated by Joffrey Texas and obey all laws of the State of Texas while participating in this activity. Student Signature*IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I / We have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my / I own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent or, if I am under eighteen (18) years of age, my parent or legal guardian’s approval and signature has been obtained; and I / we execute this Release for full, adequate, and complete consideration fully intending to be bound by the same.Parent/Guardian Signature*IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I / We have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my / I own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent or, if I am under eighteen (18) years of age, my parent or legal guardian’s approval and signature has been obtained; and I / we execute this Release for full, adequate, and complete consideration fully intending to be bound by the same.Today's Date* Month Day Year Image release Please read this whole page and sign at the bottom. I understand and agree that any photo or video will become property of Joffrey Texas and will not be returned. I acknowledge that I will receive no financial compensation. I authorize Joffrey Texas the authority to edit, alter, copy, publish and distribute images for any lawful purpose. I hereby hold harmless and release Joffrey Texas from all claims, demands, causes or actions for which I or my Parent/Guardian or any other person acting on my behalf may be brought against Joffrey Texas.Student Signature*I acknowledge that I have read and that I understand the contents of this Image Release. My signature indicates this understanding and my agreement to comply with all rules and regulations of Joffrey Texas as stated within this document.Parent/Guardian Signature*I acknowledge that I have read, that I understand, and that I agree to the terms of this Image Release. My signature indicates this understanding and my agreement that my minor child will comply with the terms stated in this document.Today's Date* Month Day Year TUITION* Scholarship- $300 General Tuition- $360 Δ
