I, the undersigned parent/guardian of the above-named student (the “Student”), hereby consent to the participation of the Student in all activities of West Michigan Youth Ballet Company (“WMYBC”). I understand that any student dancer participating in WMYBC takes certain risks including, but are not limited to strains, pulled muscles, and broken bones. Participation in WMYBC constitutes acceptance of such risk. WMYBC and its officers, staff, board members and volunteers (collectively, “Representatives”) take no responsibility for any personal injury or any injury to or loss of property. Knowing the risks associated with participation in WMYBC, I, ON BEHALF OF MYSELF AND THE STUDENT, ASSUME ALL RISKS AND RESPONSIBILITIES ASSOCIATED WITH SUCH PARTICIPATION, RELEASE WMYBC AND ITS REPRESENTATIVES FROM ANY SUCH RISK AND RESPONSIBILITIES, AND AGREE TO HOLD HARMLESS AND INDEMNIFY WMYBC AND ITS REPRESENTATIVES AGAINST ANY PRESENT OR FUTURE CLAIM, CAUSE OF ACTION, LOSS, OR LIABILITY ARISING FROM OR RELATED TO ANY ACTUAL OR ALLEGED PERSONAL INJURY OR DAMAGE TO OR LOSS OF PROPERTY THAT OCCURS (A) DURING OR AS A RESULT OF ANY WMYBC DANCE CLASS OR PERFORMANCE, (B) IN CONNECTION WITH STUDENT’S PARTICIPATION IN WMYBC, OR (C) OTHERWISE AT WMYBC’S FACILITIES.

WMYBC and WMYBC’s artistic director has final decision as to whether the Student can continue rehearsing or performing following any actual or potential injury. While I understand that WMYBC will take appropriate steps to notify me of any injury, I hereby authorize WMYBC to perform or direct whatever medical treatment is appropriate for the Student, in WMYBC’s discretion. I understand and agree that WMYBC will in no event be responsible for the cost of any medical treatment.