By checking the box below, I (parent/guardian) give my permission for (child) him/her to attend Summer Dance. I give my permission for him/her to engage in all Summer Dance activities.

I understand that Summer Dance is four weeks and to remain in the program and receive credit my child will attend each day. My child will follow the rules of Summer Dance:

• Respect for himself/herself and others
• Focus and persistence
• Daily attendance (barring illness)
• No vacations during camp
• Wear tee-shirt and dancewear daily.

Summer Dance involves extensive heightened periods of physical activity including running, jumping, and floor exercise, and periods of emotional focus discussing teen/human issues such as pregnancy, drug/alcohol abuse, self-esteem, peer pressure and family relationships. I realize that with such heightened physical and emotional activity, my child may experience fatigue and will require plenty of rest and nutritional meals throughout the four weeks of the program. I understand that despite exacting safety practices and leadership by Summer Dance staff, a guarantee of absolute safety is impossible. I understand that my child obeying all rules, guidelines and professional instruction ensures the greatest level of safety.

To the best of my knowledge, I do not know of any physical or mental impairment that would hinder my child from participating in this program. In addition, all information I am providing in this packet is true and correct. I understand that in addition to the above rules, all Public Schools codes, policies, and procedures apply under the umbrella of Kansas City Friends of Alvin Ailey’s partnership with KCPS in the sponsorship of this program. I understand that Summer Dance staff may at any time remove my child from the program for non-compliance with program or district rules.

I have read the above description of the Summer Dance program and I agree to hold Summer Dance and its sponsor, Kansas City Friends of Alvin Ailey, its employees, officers, directors, and agents harmless for any accidents or injury which may occur or result from my child’s participation in this program.