I choose (or allow my child) to participate in classes, performances, workshops, and other activities at Mojuba! Center for Dance and Culture of my own free will and certify that I am in proper physical condition to take part in such activities. If I have questions about whether an activity is suitable for me to pursue, I will consult my health care provider in making that decision. If I have any known physical vulnerabilities, conditions, or injuries, I agree to discuss them with the director before participating.

By signing this document, I release Mojuba! Center for Dance and Culture and their directors, owners, students, teachers, staff, employees, volunteers, associates (collectively referred to in this document as “MCDC") from any liability or claim that I or my representatives may have against MCDC with respect to any bodily injury, personal injury, illness, death, or property loss or damage that may result from my (or my child's) participation at MCDC.

I voluntarily release and forever discharge and hold harmless MCDC from any and all claims or demands for damages, loss of services, costs and expenses, injuries, attorney fees, and any other call for reparation from any and all injury to me or my property arising in any way from my participation in dance classes, camps, intensives, workshops, performances, company, the use of MCDC equipment or facilities, and any activities associated with MCDC.

I understand that there are risks of physical injury associated with, arising out of, and inherent to dancing. These risks include the potential for slips and falls, sprains, strains, dislocations, soft tissue injuries, musculoskeletal injuries, podiatric conditions, and other risks not specified here.

Understanding these risks and the potential for others not listed, I agree to personally accept and assume all of the risks present in my (or my youth's) participation at MCDC. My (or my shild's) participation at MCDC is entirely voluntary, and I choose to participate in spite of the risks.

Dance education sometimes requires hands-on instruction as well as verbal instruction. Instructors may correct dancers by touching their arms, legs, feet, hips, back and head to move them in the correct position. I acknowledge that this is a common standard in dance instruction and understand that it is my responsibility to communicate clearly with my teacher and/or the director if any form of touch is unacceptable to me.

I understand that MCDC does not assume any responsibility for or obligation to provide financial or other assistance in the event of injury or illness, including but not limited to medical, health, or disability insurance or support. I authorize MCDC to obtain necessary medical or dental treatment, including first aid, ambulance transport, hospitalization, or such other care necessary for my health and welfare in an emergency. If my insurance does not cover emergency treatment that is deemed necessary and sought for me by MCDC, I agree to be responsible for and pay all costs incurred on my (or my youth's) behalf. I release and discharge MCDC from any claim which may arise on account of any first aid, treatment, or service rendered in connection with my participation in MCDC activities or with the decision by any representative or agent of MCDC to consent to medical or dental treatment on my behalf in an emergency. I understand that MCDC does not carry or maintain health, medical, dental, or disability insurance coverage for any participant. I agree to take responsibility for full payment of any emergency medical or dental costs related to my MCDC participation regardless of whether I have insurance coverage.

I understand that MCDC may take photo and video recordings of me (or my youth) during my participation in MCDC classes and activities. I convey to MCDC full rights and interest in these recordings. I understand such recordings may be used in advertising or other published materials, physical or virtual.

If I do NOT consent to being photographed or video-recorded, I will make sure the director is aware of my concerns and the reasons for them, I will be proactive about avoiding being photographed or recorded, and I will hold MCDC harmless if a photo or video recording of me is released despite all precautions. I understand that this choice may limit my participation in performances that are routinely photographed and/or videotaped.

While a participant at MCDC, I agree to abide by any rules, codes, and policies that are put in place by MCDC before or at any time during my (our my youth's) participation. If I have questions or concerns regarding any policies or decisions made by any representative of MCDC, I agree to bring them promptly and specifically to the director’s attention.

I, [Parent/Guardian Name], give permission for my child, [Child's Name], to participate in the field trip should they be scheduled. I understand that every effort will be made to ensure the safety and supervision of the students during the trip. To ensure the safety and well-being of your child during the field trip, we kindly request your permission for them to participate. Thorough details and schedules will be distrubuted should they be needed.