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Please fill out the placement form and waiver below.

  • Contact Information

  • (if student is under 18 years old)
  • Prior Training

  • Scheduled Placement

  • Waiver and Release

    I am participating in a placement session today in preparation for enrollment in a dance class sponsored by the Peabody Preparatory of The Johns Hopkins University at Peabody locations or Peabody-sponsored activities to be held during this academic year. I understand that my participation may require extensive and rigorous physical exertion and activity, and that there are a wide variety of risks that could result in serious injury or death. I represent that I am covered today and throughout the program by a policy of comprehensive health and accident insurance, which provides coverage for illnesses or injuries I may sustain as a result of my participation in this class. I agree to assume all risks associated with my participation in this class, and I hereby release the Peabody Institute and The Johns Hopkins University and their representatives, agents, faculty, and employees from any responsibility and liability for my injuries, illness, medical bills, charges, or other expenses I may incur through participation in this placement session. I also agree to release and hold harmless the Peabody Institute, The Johns Hopkins University, and their representatives, agents, faculty, and employees from any and all liability and damages or losses I may suffer to my person or my property or both, which arise out of or occur during my participation in this placement session, except if the danger or losses are caused by the gross negligence or willful misconduct of the agents or employees of the Peabody Institute. I agree that this Waiver and Release is to be construed in accordance with the law of the State of Maryland, and that if any portion of this agreement is held invalid, the remainder of the agreement shall continue in full force and effect. I acknowledge that I have read this entire document, and that in exchange for the University’s agreement to my participation in the placement session, I agree to its terms.
  • Your e-signature indicates your agreement to the waiver listed above. Your participation in today’s placement session cannot occur without an e-signature.
  • (Parent/Guardian is student is under 18)