Release Form to be printed and signed

Additional Information

The undersigned parent, legal guardian, next of kin, or participant acknowledges that even though every effort is made to provide a safe, accident-free environment, incidents may occur.

In consideration for being accepted by the Arkansas Festival Ballet/ Arkansas Academy of Dance for participation in its functions, we (I) being 21 years of age or older do for ourselves (myself) and for and on behalf of my child-participant, if said child is not 21 years of age or older, hereby release, forever discharge and agree to hold harmless the aforementioned Arkansas Academy of Dance, Arkansas Festival Ballet and the directors and teachers thereof from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in a supervised trip or activity.  This release from liability includes, but is not limited to, volunteer parent supervised trips relating to meals during scheduled breaks.

Furthermore, we (I) (and on behalf of our (my) child-participation if under the age of 21 years) hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreating and work activities involved therein.

The undersigned further agrees to hold harmless and indemnify said organization, its directors, employees, and agents, for any liability sustained by said organization as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.

Only participant needs to sign if 21 years of age or older.  If participant is under 21 both parents must sign unless parents are separated or divorced, in which case the custodial parent must sign.

Parent/Legal Guardian Signature:


Participant Signature, 21 years of age or older