I release, discharge, hold harmless The word in Motion dance company (this includes all representatives of The word in Motion dance company or any other dance studio/classes in conjunction with The word in Motion) from liability, claims, of any injuries, damages or other physical problems incurred while participating in any dance class or exercise programs given by The Word in Motion.. I also certify that I have no physical disabilities, limitations or medical conditions that would interfere or hinder me from taking this class. In the event that I can not be reached in an emergency, I give the school staff permission to render or act on my behalf to obtain medical treatment for this student for an illness or injury that may occur while attending one of The Word in Motion classes.