I am the parent or legal guardian of the student who is enrolling in classes, lessons and/or other related activities with 317 Main Street, Inc.
I am enrolling in classes, lessons and/or other related activities with 317 Main Street, Inc.
I hereby consent and agree, for myself and/or my minor child, to participate in classes, lessons, rehearsals, performances and/or other related activities with 317 Main St., Inc. I understand that certain of these activities may require physical exertion and acknowledge that participation in these activities can carry with it a risk of personal injury to me or to my child.
I understand that I am fully responsible for myself and/or my child until such time that my/his/her class, lesson, or other 317 Main St. Community Music Center activity begins, and that I also am responsible for myself and/or my child immediately upon the conclusion of my/his/her activity at the Center.
This includes, but is not limited to, transportation to and from the Center, and all time spent at the Center (including the lobby area, café, outside garden and/or reception area) waiting for the scheduled activity to begin and/or waiting for pick-up following an activity.
In consideration for 317 Main St., Inc. accepting me/my child into its program, I do hereby for myself, my spouse, my children, our heirs, personal representatives and assigns, expressly release and forever discharge 317 Main St., Inc. its officers agents, and employees of and from any liability and all claims, suits or causes of action arising from or as a result of my/my child’s participation in 317 Main St., Inc. Community Music Center programs, including, without limitation, injuries or damages sustained by myself and/or child on property managed by 317 Main St., Inc./Slade Hill LLC. In addition, I hereby give my consent for 317 Main St., Inc. to seek necessary emergency medical treatment for me/my child, and for me/my child to receive such emergency medical treatment, which may be deemed necessary or advisable in the event of injury, accident or illness. I accept financial responsibility for all such medical treatment that may be provided. By signing below, I acknowledge that I understand and agree to all guidelines and conditions set forth above.
317 Main may photograph, record, and/or videotape classes, lessons and/or events sponsored by 317 Main for educational purposes and/or use on 317 Main online and social media and publication materials.
If you do not wish your camper to be photographed, recorded, and/or videotaped, please submit a brief written statement and submit it to the front desk.