Participation Waiver

If your child is currently enrolled at Premiere, you do not need to complete this form.

Please complete the form in its entirety. PDC will not sell any information to a 3rd party.

Release of Liability: As the legal parent or guardian, I release and hold harmless Premiere Dance Center, LLC., its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, that may be sustained by the participant while in or upon the premises or any premises under the control and supervision of Premiere Dance Center, LLC., its owners and operators or in route to or from any of said premises. Video & Photo Waiver: I give Premiere Dance Center, LLC my permission to public display of pictures and/or video of my child for possible educational, performance & advertisement purposes (i.e. brochures, newspaper, website, social media, etc - no names will be used). I have read the foregoing Release of Liability and Video & Photo Waiver and agree with it in all respects. Please type your full name as your signature.