Registration Form and Waiver

Form Name

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1. I,  as legal guardian/parent fully understand that I am responsible for payment of expenses incurred relating to my child’s medical treatment as a participant in the activities of Champion Legacy.
2.  I certify that the above athlete is physically capable and has no previous injuries that will affect participation in Champion Legacy.
3.  I hereby have been forewarned that participation in Champion Legacy has the following non-exhaustive list of particular risks and injuries including but not limited to : sprains, strains, abrasions, dislocations, fractures, concussions, contusions, blisters, head and neck injuries, illness and possible death.
4.  I assume all risk and full responsibilities in connection with Champion Legacy and hereby release all instructors, staff, volunteers, practice and performance facilities, and others involved with Champion Legacy from any injury that may happen with my child.  I am willing to accept these risks to participants of Champion Legacy.
5.  I understand that Champion Legacy strives to provide the maximum in safety precaution and student training.
6.  I give permission for any medical treatment necessary in the event of illness or injury at practice, events, travel, competitions, or any event we participate in with Champion Legacy.  This includes emergency transportation.
7.  I have provided accurate information to the best of my knowledge regarding my child’s health and have notified in writing the staff of Champion Legacy of any medical conditions or changes during the season.
8.  I have read, agree to and fully understand the information and risks and agree to all payments required by my daughter or son as a participant of Champion Legacy.
9.  I grant permission for my child to be photographed, videotaped, or interviewed for the website, publications or press.
10. I give permission for my child to participate in team travel and have been made fully aware that I am responsible for my child during trips.
11. I understand that a doctor’s clearance is required for any lost time injury.
12.  I understand written notice must be given to Champion Legacy if I choose to drop my child from the program and all unpaid tuition or travel must be paid in full within 30 days or my account will be turned into collections.
13.  I agree to serve the program by volunteering for a special event or fundraiser.
14.  All competition team athletes MUST be on AWD for tuition payments.
15. For all individual class dancers, AIM or Diamonds, you will receive a discount on tuition set up on AWD.  If you are not set up on monthly AWD, payment must be paid to your coach on the 1st of each month you attend classes.

By clicking the above button, I consent to be contacted by Champion Legacy Dance Academy and Webit, Inc. at any email address or telephone number I provide, including, without limitation, communications sent via text message to my cell phone or communications sent using an autodialer or prerecorded message. This acknowledgement constitutes my written consent to receive such communications. I agree and consent to any applicable Terms and Conditions of Use or Privacy Policy available on this website.

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Friday: 9:00am - 12:00pm
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