I, ______________________, hereby agree to the following:
~I understand that there are risks of physical injury associated with, arising out of, and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue U Dance Studio it’ officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities.
~ I hereby agree to release U Dance Studio and hold U Dance Studio harmless of all liability and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of the participant.
~I am aware that this is a release of liability and an acknowledgment of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation.
~ I also give U Dance Studio permission to use my and my child’s picture or video in or on any form of advertisement for U Dance Studio or a U Dance Studio-affiliated event.
~If I am a minor, my parent and/or legal guardian has also signed this document releasing U Dance Studio from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity.
~This waiver applies to all members of the family associated with the U Dance Studio Pro profile.
~ The participant has my permission to participate in U Dance Studio events. I warrant the below information is complete and correct. I further release U Dance Studio of all liabilities associated with my or my child’s attendance at U Dance Studio.
~When enrolled in a class, costume fees are NON-REFUNDABLE. You will still receive your costume.
~If you choose to discontinue before the recital or end of the season on May 31st, you agree to pay a $15 exit fee.
~Tuition is due by the First of the month, if not paid by the 10th, a late fee of $10.00 will be added.
~Auto-Pay is Required
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Releasor Participant Signature
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Date
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Parent/Guardian (for participants under 18)
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Date
**Please list any special medical instructions or comments: ________________________________________________________________________________________