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 certify that I am in good health and that I do not pose a health risk to the public.
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 act for myself, my executors, administrators, heirs, next of kin, successors,
and assigns as follows:
I HEREBY WAIVE, RELEASE, AND DISCHARGE Janka’s Level Up Dance Academy, 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, private lessons, or any activity I may
participate.
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: Janka’s Level Up Dance Academy, LLC. and their
employees, volunteers, or the activity or event holders, activity or event sponsors, activity, or event
volunteers.
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.