top of page

Informed Consent and Liability Waiver

Please fill out the following form.

Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes

Health Declaration

I/We affirm that:

  1. The participant is in good physical health and has no medical conditions or physical limitations that would prevent safe participation in dance and performing arts activities.

  2. Any known medical conditions, allergies, or special needs that may affect participation have been disclosed to Cordelion Performing Arts Academy, Inc. in digital form.

  3. I/We understand that it is my/our responsibility to inform Cordelion Performing Arts Academy immediately if the participant’s health or physical condition changes during the program.

Acknowledgment of Physical Activity and Risk

I/We understand and acknowledge that participation in dance, choreography, and other performing arts activities involves physical activity, which may include, but is not limited to, stretching, jumping, spinning, lifting, and other movements requiring physical exertion.

I/We further understand that participation in these activities involves certain inherent risks, including the risk of injury, illness, or other physical harm. While Cordelion Performing Arts Academy Inc., and its instructors, guest artists, and staff take reasonable measures to promote a safe environment, I/We acknowledge that injuries may still occur.

Release of Liability

In consideration of participation in programs, workshops, rehearsals, performances, and related activities, I/We hereby agree to the following:

  1. I/We release and hold harmless Cordelion Performing Arts Academy, Inc., its instructors, guest artists, staff, officers, agents, and any associated venues from any and all claims, demands, and causes of action arising out of or related to any injury, illness, or damages incurred during or as a result of participation in the program.

  2. I/We accept full financial responsibility for any medical expenses or other costs related to injuries or illnesses incurred during participation, regardless of fault or circumstances.

  3. I/We confirm that it is my/our responsibility to maintain adequate health and accident insurance coverage for the participant during the entirety of their involvement in the program.

bottom of page