ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
Footnotes School of Dance, LLC
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT, including by way of example and
not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being
released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of
their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have
not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons
or problems which preclude my participation in this activity or event.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and
organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at
said activity or event.
In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my
executors, administrators, heirs, next of kin, successors, and assigns as follows:
I HEREBY WAIVE, RELEASE, AND DISCHARGE Footnotes School of Dance, LLC and all divisions thereof of any and all
liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred
during participation in and/or instruction of camps, intensives, private instruction, choreography or any activity I may
I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the
negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage,
property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event,
THE FOLLOWING ENTITIES OR PERSONS: Footnotes School of Dance, LLC and/or their directors, officers, managers,
employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, activity or
I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this waiver, release and
registration form from any and all liabilities or claims made as a result of participation in this activity or event, whether
caused by the negligence of release or otherwise.
The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum
extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A
RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
PARENT / GUARDIAN WAIVER FOR MINORS (Only if student is under 18 years old)
The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has
consented to his/her child or ward’s participation in the activity or event, and has agreed individually and on behalf of
the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or
guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all
liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or
lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.