Collect Dance Waivers & Medical Consent Online in Minutes

Protect your studio with a ready-to-use dance waiver covering assumption of risk, liability release, emergency medical consent, and dancer health details.

השתמשו בתבנית בחינם תצוגה מקדימה

Jade ערכת עיצוב

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Dance Studio Class Participation Liability Waiver & Emergency Medical Consent Form

Dancer's Full Name

· · ·

Dancer's Date of Birth

· · ·

Class(es) Enrolled

שליחה

This Dance Studio Class Participation Liability Waiver and Emergency Medical Consent Form template gives your studio one organized place to collect everything you need before a dancer steps onto the floor. It gathers the dancer's name, date of birth, and enrolled classes. It also collects parent or guardian contact details, a separate emergency contact, medical conditions, allergies, medications, past injuries, physician information, and health insurance details. Pre-written sections cover assumption of risk, release of liability, and emergency medical consent. Acknowledgment statements at the end let parents or adult dancers confirm they agree to the terms.

The template is built for dance studios, ballet schools, performing arts academies, competition teams, and instructors who teach recreational or competitive classes for children, teens, and adults. It works for ballet, jazz, tap, hip-hop, contemporary, and acro classes. The waiver language addresses the physical demands of dance, including jumps, turns, lifts, partnering, and floor work. It applies to classes, rehearsals, recitals, competitions, and studio events.

Moving your waiver online replaces paper packets and keeps records organized and searchable. It also helps instructors quickly find medical and emergency information when it matters most. Families can complete the form from any phone or computer during registration, which cuts front-desk paperwork and missing forms. You can customize the wording, add your studio name and logo, include a signature field, or connect the form to your enrollment process. We recommend having your final waiver reviewed by a local attorney to confirm it meets the requirements in your state or region.

3 עמודים

20 שאלות

~7min זמן מילוי

חינם כלול בכל התוכניות

סוגי שדות שם מלא ×4 טלפון ×3 תאריך ×2 termsandconditions ×2 בחירה מרובה אימייל כתובת רשימה נפתחת טקסט ארוך טקסט קצר richtext כן / לא חתימה

השאלות בתבנית

תבנית חינמית

אלה השאלות שכלולות בתבנית — אפשר להתאים כל אחת מהן לצרכים שלכם.

עמוד 1 Dancer & Parent/Guardian Information 7 שאלות

Dancer & Parent/Guardian Information

1 Dancer's Full Name * שם מלא

2 Dancer's Date of Birth * תאריך

3 Class(es) Enrolled * בחירה מרובה

4 Parent / Legal Guardian Name (required if dancer is under 18) שם מלא

5 Email Address * אימייל

6 Primary Phone Number * טלפון

7 Home Address * כתובת

עמוד 2 Emergency Contact & Medical Information 7 שאלות

Emergency Contact & Medical Information

1 Emergency Contact Name (other than the person completing this form) * שם מלא

2 Emergency Contact Phone Number * טלפון

3 Relationship to Dancer * רשימה נפתחת

4 Please list any medical conditions, allergies, current medications, or past injuries (e.g., asthma, epilepsy, joint or back problems). Enter 'None' if not applicable. * טקסט ארוך

5 Primary Physician Name שם מלא

6 Physician Phone Number טלפון

7 Health Insurance Provider & Policy Number טקסט קצר

עמוד 3 Waiver, Consent & Signature 6 שאלות

Assumption of Risk, Release of Liability & Medical Consent

1 ASSUMPTION OF RISK: I understand that dance classes, rehearsals, and performances involve vigorous physical activity, including stretching, jumping, turning, leaping, partnering, lifts, floor work, and acrobatic movements. These activities carry an inherent risk of injury, such as sprains, strains, muscle tears, fractures, and concussions. I confirm the dancer is in good health and physically able to participate. I knowingly and voluntarily assume all such risks.RELEASE OF LIABILITY: In consideration of being permitted to participate, I release, waive, and hold harmless the studio, its owners, instructors, employees, and volunteers from any and all claims, damages, or losses arising from participation in classes, rehearsals, recitals, competitions, and studio events. This release does not cover losses caused by gross negligence or willful misconduct. I agree that the dancer will follow all instructor directions and studio safety rules.EMERGENCY MEDICAL CONSENT: In the event of injury or illness, I authorize studio staff to administer first aid. I also authorize staff to obtain emergency medical treatment, including ambulance transport to the nearest hospital, whenever they deem it necessary, even if I cannot be reached. I consent to the release of the medical information on this form to treating medical personnel. I accept financial responsibility for all resulting medical costs. richtext

2 I have read and understand the Assumption of Risk and Release of Liability above, and I voluntarily agree to its terms on behalf of myself and/or my minor child * termsandconditions

3 I authorize emergency medical treatment for the dancer as described above, confirm that all medical information provided is accurate and complete, and accept financial responsibility for any related costs * termsandconditions

4 Photo & Video Release: May the studio photograph or record the dancer during classes, rehearsals, and performances for use on its website, social media, and promotional materials? * כן / לא

5 Signature of Adult Participant or Parent / Legal Guardian * חתימה

6 Date Signed * תאריך

איך משתמשים בתבנית

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