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Northern Lights

Dynamic Education

Hold Harmless and

Media Release Agreement

• I give my child permission to participate fully in Dynamic Education's programs located at Dynamic Education (4409 SE 16th Place, suite 10B). I recognize this includes, but is not limited to certain physical activities, which may pose some risk of injury. I further understand and agree that Dynamic Education is not responsible for any costs incurred by me or my child arising from activities conducted within the scope of this program.


• I indemnify and hold harmless Dynamic Education and any of its sponsors, partner organizations, contractors, and/or agents from all claims from my use of Dynamic Education's property or participation in any programs. I will further indemnify and hold harmless Dynamic Education sponsors, contractors, and/or agents, and other associated parties from all costs, expenses and liabilities resulting from any claim brought from my child(ren)’s use of Dynamic Education's property and/or participation in Dynamic Education's programs to the extent of Dynamic Education’s liability under general law.


• The emergency contacts listed are authorized to make emergency decisions on my behalf if I cannot be reached. In the event that no one can be reached, I authorize Dynamic Education to arrange any necessary emergency medical treatment.


• In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for: (1) the administration of any treatment deemed necessary by the appropriate medical professional; and (2) the transfer of the child to any hospital reasonably accessible.


• I understand that ONLY persons on the “Authorized Person(s)” list will be allowed to pick up my child and that they and I will be required to present photo identification each day before my child is released.


• I understand that photographs and videos may be taken of my child during the course music programs and I give Dynamic Education permission to use these photographs and videos for publicity purposes. These photos/videos are to be approved by myself as well as the parent/guardian, and are to be used on social media platforms, their website, etc. for advertising and marketing purposes only. Pictures and videos can be edited with text promoting the studio, as long as the edits are not inappropriate or altering the appearance of my child(ren). I hereby release and hold harmless said companies from any reasonable expectation of privacy or confidentiality associated with the images and/or videos specified. All images and/or videos will be stored on company devices and profiles.


• I have read and fully understand the above information, warning of risk, and assumption of risk and waiver and release of all claims. I have had the opportunity to ask questions and am voluntarily signing below without any inducement.

Todays Date
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