TBCDE Dance Class Waiver"*" indicates required fields Please fill out the information below to complete your child’s acceptance to dance class with Tulsa Ballet Center for Dance Education!Child's Name* First Last Has your child take dance lessons before? Yes NoHow many years?Parent/Guardian Name* First Last Parent/Guardian Email* Enter Email Confirm Email Parent/Guardian Phone*AgreementsLiability Release*I/We recognize and understand the risks of physical injury inherent in dance and dance training, and I am willing to assume those risks. I/We agree that I/we will not hold Tulsa Ballet Theatre, Inc., Tulsa Ballet Center for Dance Education, or any faculty member, employee, or volunteer liable for injuries sustained or illnesses contracted by me while in attendance and/or participating in Tulsa Ballet Center for Dance Education, whether as a result of first aid rendered by any faculty member, employee, or volunteer of Tulsa Ballet Theatre, Inc. or Tulsa Ballet Center for Dance Education, or by any physician or nurse selected by the Tulsa Ballet Center for Dance Education. I/We agree to indemnify Tulsa Ballet Theatre, Inc., Tulsa Ballet Center for Dance Education, and all employees and volunteers of both, for all liabilities, costs, and judgments arising from acts or omissions committed by me which result in injury or damage to any person or party. I/We understand that, as a dance student, the student may be physically touched in the course of dance training and dance instruction. I/We will not hold Tulsa Ballet Theatre, Inc. or Tulsa Ballet Center for Dance Education liable for physical touching which is incidental to and in the course of dance training and dance instruction. It is understood that it is the responsibility of the student to safeguard all personal property, and it is not the responsibility of Tulsa Ballet Theatre, Inc. or Tulsa Ballet Center for Dance Education. I/We agree that I/we will not hold Tulsa Ballet Theatre, Inc. or Tulsa Ballet Center for Dance Education responsible for the loss or damage of personal property while in attendance and/or participating in Tulsa Ballet Center for Dance Education. By clicking here, I agree and acknowledge that I am committing my child and myself to the Liability Release above.Media ReleaseIn the event Tulsa Ballet or Tulsa Ballet Center for Dance Education records the participation of the student on film, still photography, audio and/or videotape for presentation in publicity, printed material and by the news media in any part of all the programs the student participates in or in any production of Tulsa Ballet Theatre, Inc., I/we hereby consent to the use by Tulsa Ballet Theatre, Inc. or Tulsa Ballet Center for Dance Education without limit to time or number of performances or showings. I/We understand that no financial remuneration will be forthcoming as a result of the use of such materials or performance. By clicking here, I agree and acknowledge that I am committing my child and myself to the Media Release above.PhoneThis field is for validation purposes and should be left unchanged.