Dance Registration

I authorize that my child is medically cleared to participate in practices and activities for Dance.

In the event that I can not be reached, I give permission for the adult in charge to take my child to a qualified licensed physician or to a nearby hospital for necessary treatment.

My signature gives permission for 1) my child to have bus/car transportation to and from St. Athanasios for Dance functions. 2) my child’s picture and or name to appear on the St. Athanasios Website or literature. 3) my student contact information to be used in the directory.

I/We, as Parent/Legal Guardian(s) of the Dance Participants give permission for my/our child to participate in any/all activities of the St. Athanasios Dance program for so long as my/our child is a registered member of the St. Athanasios Greek Orthodox Church Dance and all activities related to the Greek Orthodox Metropolis of New Jersey unless otherwise indicated on this form, or on the child’s medical form. These activities include but are not limited to: dancing and field trips.

I/We understand that no responsibility is incurred by the St. Athanasios Dance group, the Greek Orthodox Archdiocese of America, the Greek Orthodox Metropolis of New Jersey, St. Athanasios Greek Orthodox Church, their leaders, employees, and volunteer staff, for loss of documents, or damage to luggage or any personal belongings.

I/We understand that photos and/or video will be taken throughout the event of the activities and the participants. I/We also understand that photos and any videos will be taken for the sole purpose of future promotion of the program. Therefore, we consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of my/our child during the activities of the St. Athanasios GOYA to be used, distributed, or shown as St. Athanasios Greek Orthodox Church, St. Athanasios Dance and/or the Greek Orthodox Metropolis of New Jersey see fit.

I/We understand that all reasonable safety precautions will be taken at all times by the St. Athanasios Greek Orthodox Church, St. Athanasios Dance and the Metropolis of New Jersey and their agents during all activities of St Athanasios Dance. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk in all activities, dances, etc. I/We agree not to hold St. Athanasios Greek Orthodox Church. St. Athanasios Dance, the Greek Orthodox Archdiocese of America, and the Greek Orthodox Metropolis of New Jersey, their leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.

Please note that in providing recreational or sporting activities, the Greek Orthodox Metropolis of New Jersey, St. Athanasios Greek Orthodox Church and the St. Athanasios Dance does not hold itself responsible in any way for any injury that might arise from participation in any such events. Participation is strictly voluntary and carries with it the commonly held understanding that some degree of risk is associated with any and all activities including but not limited to activities, dances and the like.