We must receive this form signed, to qualify for eligibility in this program. Please read this form carefully and be aware in registering your child(ren) or ward(s) for participation in this program, you will be waiving and releasing all claims for injuries, you or your minor child(ren) / ward(s) might sustain, arising from the program(s) (including transportation services, when provided). You will be waiving all claims for images in photography and filming used for any and all publicity (advertising ,web page, social media and school calendar)

As a parent/guardian of a participant(s) in the program(s), I recognize and acknowledge that there are certain risks of physical injury, and COVID-19 and I agree to assume the full risk of any injuries, including death, damages or loss which I or my minor child(ren) / ward(s)may have as a result of participating in the program(s) against R&B DANCE CENTER and its officers, agents, employees and volunteers. Further, the undersigned hereby releases and discharges R&B DANCE CENTER and its officers, agents, employees and volunteers for any claims for any injuries, including death, damages or loss, that I or my minor child(ren)/ward(s) may incur as a result of any food allergy I or my minor child(ren)/ward(s) may have and any reaction and/or injury related thereto.

I DO HEREBY FULLY RELEASE AND DISCHARGE THE R&B DANCE CENTER, its officers, agents, employees and volunteers from any and all claims from injuries, including death, damages or loss which I or my minor child(ren) / ward(s) may sustain or which may accrue to me or my child(ren) / ward(s) on account of participation in the program(s) (including transportation services, when provided).

I have read and fully understand the above WAIVER AND RELEASE OF ALL CLAIMS.