I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or
video tape without payment or any other consideration. I understand that my image may be edited, copied,
exhibited, published or distributed and waive the right to inspect or approve the finished product wherein me.
likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the
use of my image or recording. I also understand that this material may be used in diverse educational/promotional.
settings within an unrestricted geographic area by Dream Dance & Fitness studio.

Photographic, audio or video recordings may be used for the following purposes:
• conference presentations
. diverse festivals
• educational presentations or courses
• informational presentations
• on-line educational courses
• educational videos
. promotional videos

By signing this release, I understand this permission signifies that photographic or video recordings of me.
may be electronically displayed via the Internet or in the public educational setting.
I will be consulted about the use of the photographs or video recording for any purpose other than those.
listed above.
There is no time limit on the validity of this release nor is there any geographic limitation on where these.
materials may be distributed.
This release applies to photographic, audio or video recordings collected as part of the sessions listed on this.
document only.
By signing this form, I acknowledge that I have completely read and fully understand the above release and
agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing.
this material for educational purposes.

PARTICIPANT INFORMATION – All information provided will be kept private and confidential

I _________________________ Participant (Parent/Guardian) here by agree to the following:

1. That I/my child is participating in the group exercise and dance programs, Dream Dance & Fitness Studio LLC during which I will receive instructions. I understand that it is my responsibility to consult with a physician prior to and regarding my participating in any Fitness or dance program. I represent and warrant that I am physically fit, and I have no medical condition that would prevent my full participation in class.
2. ASSUMPTION OF RISK I acknowledge that exercising and dancing is a physical activity that involves jumping, kicking, rotation, and coordinated body movements. I agree that I/ my child's participation in Dream Dance & Fitness Studio LLC involves inherent physical risks and I agree to assume the full risk of any bodily injuries (including death), damages, or loss which I / my child may sustain because of any activities arising out of, connected with, or in any way associated with I/ my child's participation in Dream Dance & Fitness Studio LLC dancing classes and or other activities. I certify that I / my child's present level of physical condition is consistent with the demands of active participation in dance.
3. OUTSIDE OF STUDIO WAIVER I acknowledge that that if Dream Dance & Studio members are traveling to a location chosen by my family to rehearse for Quinceañera, Dream Dance & Studio and members will not be held responsible by any damage to any property that may be caused.
4. WAIVER I agree that I/ my child’s heirs, next of kin, executors, administrators and assigns do hereby fully release Dream Dance & Fitness Studio LLC from any and all liability, claims and causes of action arising from any injury, damage or loss I/ my child may sustain as a result of my/their participation in Dream Dance, Dance & Fitness Studio dance classes and or other activities and covenant not to sue Dream Dance & Fitness Studio LLC for the same, whether caused by the negligence of Dream Dance & Fitness Studio LLC or otherwise. This is a complete and irrevocable release and waiver.
5. The government has set recommendations, guidelines, and some prohibitions which Dream Dance & Fitness Studio LLC adheres to comply regarding COVID- 19. In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following:
I am aware of the existence of the risk on my physical appearance to the venue and my participation to the activity of the Organization that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death.
I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.

6. I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.