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I, on behalf of my child or myself, have volunteered to participate in a program of dance instruction under the direction of Urban Dance and its faculty members which will include, but may not be limited to, the dance studio and/or any equipment available in the dance studio. I recognize that there are risks involved with the participation of any dance program. I acknowledge and agree that I assume any and all risks associated with any of the activities or exercises in which my child participates in and hereby release Urban Dance School, its owner and their instructors from any and all liability in this regard.

I give permission for pictures of my child to be used for media to promote dance activities (newspaper, online media, etc).