Medical Authorization & Liability Release

Medical Authorization & Liability Release

A copy of this form must be completed by each participant and turned in prior to departure.
If you do not have this form on record prior to departure, you will NOT be allowed to participate.



I.     I, the undersigned parent or guardian, do hereby grant permission for my son/daughter, and hereinafter shall be referred to as "participant," to participate in any HTEDance & Spirit Group, Inc., hereinafter referred to as “HTEDance“, event or camp. In order that the participant may receive the necessary medical treatment, in the event of an injury or illness, I hereby hold HTEDance and its representatives harmless in the exercise of this authority.

II.     I further acknowledge, understand and agree that in taking part in this clinic, camp or event, there is a possibility of physical illness or injury (minimal, serious, or catastrophic) and that participant is assuming the risk of such illness or injury by participating. I agree to accept responsibility for my child, his/her safety and welfare during the course of this camp.

III.     I further agree to hold harmless HTEDance, including its principals, directors, officers, staff and employees which conduct the camp, for and/or from any illness or injury incurred by participant during the course of said camp/clinic or special event.

IV.     Finally, we agree not to pursue HTEDance, its principals, instructors, associates or affiliates legally, in the event that these issues do come to pass.


Parent/Guardian Signature. Please sign on the line using your mouse or finger. *
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