LIABILITY WAIVER FORM
Uplift Dance Education
I/we realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Uplift Dance Education.
I/we agree to release and hold harmless Uplift Dance Education including its teachers, dancers, staff members, and facilities used by Uplift Dance Education from any cause of action, claims, or demands now and in the future. I/we will not hold Uplift Dance Education liable for any personal injury or any personal property damage, which may occur on the premises before, during, or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Uplift Dance Education
I understand that Uplift Dance Education is insured. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Executive Director, Artistic Director, Individual Instructor, or staff member as soon as possible.
Dancer’s Name:_____________________________________ Age:_________________
(Print)
Dancer’s Signature:__________________________________ Date:_________________
(If unable to sign, parent/Guardian Sign Only)
Parent Guardian Name:_______________________________ Phone:________________
(Print)
Parent Guardian Signature:____________________________ Date_________________