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I have enrolled my child in a program of strenuous physical activity offered by Briscuso Dance Studio. I hereby affirm that the student is in good physical condition and does not suffer from any disability that would prevent or limit participation in this dance program. In consideration of myself, my heirs and assigns, hereby release the Briscuso Dance Studio, the owner Julie DeYoung, her family, and her employers from any claims, demands, and causes of action arising from my or the above named person’s participation in any of the above stated programs, and I hereby release the Briscuso Dance Studio, the owner Julie DeYoung, her family or employees, from any liability now or in the future including but not limited to heart attacks, muscle strains, pulls, tears, broken bones, shin splints, heat prostration, knee, lower back, or foot injuries and any other illness, soreness or injury however caused occurring before, during or after participation in any other of the above stated programs offered at Briscuso Dance Studio or at any time, while in the vicinity of the premises of the above stated business, or in any activity sponsored, represented, or organized by Briscuso Dance Studio, the owner Julie DeYoung, her family, or employees, for any reason. By signing, I hereby affirm that I have read and fully understand and agree with the above waiver.
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