Which program/programs is your student participating in?

I hereby release Ms. Kais Academy of Performing Arts/SLV Gymnastics, employees/teachers from all liability for personal injury, illness or property damage occurring on or off studio’s premises. *

I authorize Ms. Kais Academy of Performing Arts/SLVGym to seek medical treatment at the nearest medical facility and they may call paramedics and discharge me/my student to an ambulance if I am not able to authorize it in the case of a medical emergency.*

I certify that my student is in good health and capable of participating in physical activities. *

I hereby give permission to Ms. Kais Academy of Performing Arts/SLV Gymnastics to take and use photographs for promotional uses for the studio.*

I understand that payment is nonrefundable and must be paid in full or on a monthly bases. Any late payments or delinquent accounts are subject to fees and dismissal of class.*