I, the undersigned, (if the participant is 18 years of age or older) or parent/guardian of the listed minor participant, acknowledge and fully understand that each participant will be engaging in activities, that may involve risk of injuries or illness, which includes being transported to or from events, which transportation I hereby authorize. I hereby declare any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health. If neither of the person(s) designated above can be contacted, I give permission for my child to be evaluated, treated, and/or given medication in accordance with standard medical practice by licensed medical personnel. I hereby assume responsibility for payment of such treatment. I relieve SOle Impulse Dance Studio, Katelynn Cagle, staff, and designates and Lessor of all responsibility and consequences that may arise as a result of this treatment. I also agree to protect, defend, indemnify, and hold harmless Sole Impulse Dance Studio, Katelynn Cagle, staff, and designate Lessor from and against any and all liability in the event of injury or illness. This release is effective until revoked, in writing, by me.