1600 W Douglas Ave Wichita, KS 67203

(316) 687-5880

Waiver & Medical Release

Participation in Ballet Wichita is completely voluntary. I/we have reviewed the dancer agreement and choose to participate with a full and complete understanding and acceptance of the risks associated with being in a production with Ballet Wichita. I assume complete responsibility for any injury to me/my child that may occur during Ballet Wichita activities/while on any premises in which rehearsals or performances of production may occur and hold harmless Ballet Wichita, the sponsors, promoters, or other persons associated with Ballet Wichita against accidents, or injury.

FURTHERMORE: I HEREBY give permission for me/ and or my child to receive medical/dental treatment when deemed necessary for the entire period that I/or my child is participating in Ballet Wichita productions. I/we will not in any way hold Ballet Wichita responsible for any treatment deemed necessary for medical/dental services.

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