The information on this form may be used by and shared with Dandelion Dance™ representatives or medical personnel to support the health and safety of your child(ren)/ward(s); administer or authorize appropriate first aid, health care or medical attention for your child(ren)/ward(s); and to obtain your permission on who may pick up your child(ren)/ward(s).
The information on this form will be kept by Dandelion Dance™ until the end of the 2019 Fall term or until the student is no longer enrolled at Dandelion Dance™.
Giving Permission to Dandelion Dance™
I give my permission to the management, faculty and/or staff of Dandelion Dance™ to authorize any emergency medical care that may be required by the above student(s) as a result of her/their participation in classes, performances, or any related Dandelion Dance™ event.
This authorization extends through the current dance term or until the student(s) is/are no longer enrolled at Dandelion Dance™. I also authorize Dandelion Dance™ to take all reasonable steps to respond to medical emergencies and to seek medical treatment in the case of an injury.
Teachers and schedules are subject to change due to unforeseen circumstances. The use of digital recording devices, including cell phones with cameras and video capability, without the express consent of the instructor is strictly prohibited at all times. Dancers will not be allowed to participate in class unless these forms have been signed. Dandelion Dance™ reserves the right to ask disruptive individuals to leave the premises. Dandelion Dance™ is not responsible for students before and after class. Dandelion Dance™ is not responsible for lost items.
I, as the parent/legal guardian for children under the age of 18, fully understand and acknowledge that, a) Risks and dangers exist while participating in physical activities such as dancing. b) The participation in such activities and/or use of related equipment may result in injury or illness including but not limited to bodily injury. I agree to release, waive, discharge, and hold harmless Dandelion Dance™, its directors, and employees from any liability, claims, actions or losses for bodily injury, property damage, or otherwise which may arise out of participation in Dandelion Dance™ programming.
Dandelion Dance™ uses images (photos and/or videos) of students in communications materials (including, but not limited to, print and online platforms) to foster a greater sense of community and to help spread the word about our programs. We use images to enhance the quality of our print materials, website, and other media. We also incorporate images into a slideshow to be shared with family and friends at our year-end show in June. We are always thoughtful about using images that show each child in the best light and inspire the community.
Images are taken only by teachers, authorized volunteers, and/or professionals that are well-known to our organization. Students are always aware when images are taken.
Dandelion Dance™ uses images of students in groups, as well as individually, in its communications. Should Dandelion Dance™ wish to use an identifiable image of a single child (individual portrait) or publish the first name of a child alongside a published image, we will ask for parent/guardian permission. We will never use a child’s last name or other identifying information in our communications materials.
Dandelion Dance™ is committed to protecting your child(ren)’s privacy and security. If you wish to opt-out of having identifiable images of your child(ren) used by Dandelion Dance™, please check the relevant box(es) below and provide a current photo of your child(ren) for reference, so that we can be sure to respect your wishes.
Unless this “Photo/Video Opt-Out” is signed and on file with a current photo of the person(s) opting out, participation in Dandelion Dance™ programming implies permission for the use of images taken.
Dandelion Dance™ takes all reasonable precautions against the unauthorized reproduction of images of our students.
Dandelion Dance™ is not responsible for any harm that may arise from the unauthorized reproduction or use of your child(ren)’s name(s) and/or image(s).
A parent/guardian may withhold permission for Dandelion Dance™ to use identifiable images of their child(ren). As the parent/guardian of the child(ren) named below, I understand that by opting-out, Dandelion Dance™ will not use identifiable images of my child(ren) for the following purposes (check one or both):
I have read the Opt-Out Photo/Video Policy and Limitation of Liability above and am familiar with its contents. I have provided a picture of (each of) my child(ren) as a reference to ensure that their image is not included in any communications used by Dandelion Dance™.
In signing this Opt-Out, I understand that Dandelion Dance™ will make reasonable efforts to avoid unauthorized access to, or use of, their image for all purposes identified herein. If I become aware of my child(ren)’s image being used by Dandelion Dance™ without permission, I will notify Dandelion Dance™. I understand that Dandelion Dance™ will then make reasonable efforts to remove my child(ren)’s image from its communications.
There are no classes on:
Saturday Schedule: Oct 12 - Thanksgiving
Monday Schedule: Oct 14 - Thanksgiving
357 Wilmont Ave Ottawa, ON K2A 0B2