WAIVER
ALL students must submit a medical waiver before starting classes.
This waiver is for ALL students

For the safety of all students, please inform us of any allergies or dietary restrictions your child may have so we can accommodate them during class parties at AMDC.

Please be aware that music may be played at high volume during classes and events at AMDC.

**ALL medical information provided will be kept strictly confidential at AMDC to ensure the best assistance for ALL DANCERS

HEALTH WAIVER

Please fill out this form in order to participate in our program.

DANCER'S First name

DANCER'S Last name

DANCER'S Date of birth

Month

Day

Year

Does the DANCER have any dietary restrictions or ALLERGIC to anything?

Yes

Does the DANCER suffer from a medical condition, illness or injury?

Yes

If you answered YES to any of the questions above, please supply additional information.

By enrolling at AMDC, parents acknowledge that dance and acro involve inherent physical risks and agree that the studio, its instructors, and staff are not liable for injuries or accidents. Parents accept responsibility for their child’s health, readiness for participation, and providing any necessary medical information or accommodations.

Initials

I declare that the info I’ve provided is accurate and complete.

WAIVER ALL students must submit a medical waiver before starting classes. This waiver is for ALL students

For the safety of all students, please inform us of any allergies or dietary restrictions your child may have so we can accommodate them during class parties at AMDC.

Please be aware that music may be played at high volume during classes and events at AMDC.

**ALL medical information provided will be kept strictly confidential at AMDC to ensure the best assistance for ALL DANCERS

HEALTH WAIVER

WAIVER
ALL students must submit a medical waiver before starting classes.
This waiver is for ALL students