Waiver

If you have signed up for one of our classes, please fill this form, thank you!

Waiver of Liability

As a participant in dance class and or a parent of a participant in dance class….

I recognize that dance and fitness programs require physical exertion that is strenuous and cause physical injury. I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to beginning any dance or fitness classes. I warrant that I am physically fit & have no medical condition that would prevent my full participation in the classes. I understand that the activity host’s advice is not to supersede the advice of a physician.

 I agree to mention any changes in my medical condition to my instructor before the start of each class.  This includes but is not limited to sprains, common colds, flu, pregnancy, and more.

I agree to assume full responsibility for all tasks, injuries, or damages, known or unknown, which I might incur as a result of participation in these activities. I expressly waive any claim I may have against ________________ for injury or damages that I might sustain.

I, my heirs & legal representative waive the right to sue DanceMindsLLC, for any injury or death caused by their negligence or other acts.

 

Photo/Video Release

I agree that DanceMinds LLC may use such photographs and videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

As the legal parent or guardian, I give permission to _________________________________, to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.

I have read the above release & waiver of liability and fully understand its contents. I voluntarily agree to the terms & conditions stated above.

 
Name
Name