Dance Studio Student's Registration Form

Dance Studio Student's Registration Form

Registration form for a dance studio with health related questions for proper assessment of the student and a consent with e-signature for emergency medical treatment when necessary. Form Preview
AAA Health Form 2013-2014
  • Attitude Arts Academy Health Form 2013-2014

  • Student's Information

  • Health Information

  • Health Release

  • By hitting submit and electronically signing, I agree that I am the parent or legal guardian of the above named student, and am over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel. I give my permission for the Attitude Arts Academy to transport, or call an ambulance, to take my child to a medical/dental facility, if necessary. In case of emergency, if none of the emergency contacts respond, I hereby give my consent for emergency medical care to be prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent. I accept full responsibility for all costs of said medical care and any emergency treatments. The Attitude Arts Academy will not be held responsible for the cost of any medical or dental care, or emergency treatments. I hereby waive all claims whatsoever in connection with such medical treatments.

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