Liability Waiver

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Liability Waiver KC Monnie originally from Seattle, Washington, KC moved to LA after receiving a scholarship from EDGE Performing Arts Center in Hollywood. Most recently, he has danced in the record breaking, FOX live event, “Grease Live!”. KC can be seen in feature films such as: “La La Land”,“Ted 2”, Disney’s “Teen Beach 2”, “Teen Beach Movie”, where he plays the Nerd and a Biker. He has worked exclusively with Taylor Swift, Ariana Grande, Kylie Minogue, Jane Lynch, Emma Stone, Betty White, Boyz II Men, Julianne Hough, Vanessa Hudgens, and Iggy Azalea. He has been in numerous performances on Dancing With The Stars over the past nine seasons choreographed by Mandy Moore, Chris Scott, Dee Caspary, Marty Kedelka, Marguerite Derricks, and Kenny Ortega. KC can be seen in the box office hit “No Strings Attached” and the remake of the movie "FAME," choreographed by Marguerite Derricks. Other credits include Assistant Choreographer for “Easy A” and “90210,” dancing for Rihanna at the VMAs choreographed and is one of Mandy Moore’s assistant choreographers on So You Think You Can Dance. Hannah Douglass grew up in Austin, Texas where she trained before moving to Los Angeles. Hannah has been featured in the films: Footloose, Iron Man 2, Bedtime Stories, Dance Flick, and What to Expect When You’re Expecting. Television shows she has been featured on include: Glee, The Goldberg’s, X- Factor, American Idol, and Dancing with the Stars. She has worked on several commercials and music videos as well as toured on Glee: Live Tour and can recently be seen dancing with Beyoncé on her past three world tours. Liability Waiver As with other sports, there are risks involved with taking dance classes. Parents and students should be aware that injuries (including paralysis or even death) may occur in dance class. By enrolling your child in class or camp at Starstruck, you are assuming the risks involved with taking dance class. I __________________________ (parent name) am fully aware of the risk associated with my child participating in a dance class (or team practice) at Starstruck. I will talk with my child about the risk and demand they listen to instruction from their teachers. I acknowledge that I currently have and will continue to provide adequate insurance coverage for my child’s protection. I realize the risk of injury involved and hereby agree to assume the responsibility of such for said student and further agree to save and hold harmless, Starstruck, its employees, and all other concerned, and to indemnify them against loss. I jointly and severally hereby forever release, discharge, and acquit STARSTRUCK ACADEMY OF DANCE from any and all contracts, claims, suits, actions, or liabilities both in law and in equity specifically arising from, relating to or otherwise described as and limited to participation in any dance class including damages or injuries arising from or resulting from participation. This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives. In case of emergency, I give my permission for emergency medical treatment. Get feedback on how to better your dancing in a THE LIVE TOUR professional A THREE-DAY INTENSIVE FOCUSING ON THE ULTIMATE PERFORMANCE. capacity. Learn from dancers that have been on world tours with the industries top performers. JUNE 6-8, 2017 $325.00 SPOTS WILL FILL FAST STARSTRUCK ELITE Please fill out! DANCERS ARE Dancer’s Name:______________________________________________ REQUIRED TO Address:____________________________________________________ COMPETE IN THIS NUMBER FOR THE Home Phone:__________________ Parent’s Cell:__________________ 2017-2018 SEASON. Parents Name:________________________ Dancer’s Age:__________ THIS WILL GO TO NATIONALS. ANYONE Are you currently enrolled at Starstruck? Y / N BELOW A LEVEL 4 Email:______________________________________________________ MUST GET Payment: Cash, Check, Visa, Master Card. APPROVAL FROM LISA. CC#:__________________________ Exp._____________ CVC: ________ Zip Code:_____________________ Name on Card:________________________________________ STARSTRUCK ACADEMY OF DANCE Signature:____________________________________________ Registration also available Checks payable to Starstruck. *Fees Non-Refundable online at: www.starstruckdance.com *Please sign Liability Waiver on back! .
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