WAIVER AND RELEASE FROM LIABILITY FOR DANCE AND SOCIAL MEDIA
By checking and confirming the box, you acknowledge that you are the parent (or guardian) of the child you are registering for Dance Instruction. Furthermore, you acknowledge that you understand the nature of the activities your child will be participating in and that your child is in the proper physical condition and capable of participating in the related activities, understanding that Revival Dance Complex, LLC is not in any way responsible for making such a determination.
In consideration of your child's enrollment in any dance instruction program, I understand that and agree on behalf of myself and my child, to release, hold harmless, and discharge Revival Dance Complex, LLC from all claims, cost, liabilities, expenses or judgments, including attorney's fees and court cost or any occurrences in connection with any dance instruction. I assume all risks to my child in connection with any instruction and further release Revival Dance Complex, LLC and it owners and employees from liability for any injury sustained by my child while he or she is enrolled in any dance instruction program, including all risks reasonably connected with such activity whether foreseen or unforeseen.
I understand that Revival Dance Complex, LLC is not responsible for my child or other children under my supervision who are left unsupervised in the common area and areas surrounding the dance studio and that Revival Dance Complex, LLC will only be supervising my child when he or she is participating in scheduled dance activities, programs or instruction.
I understand that Revival Dance Complex, LLC is not responsible for personal property that is lost, damaged or stolen while I or my child is at or on Revival Dance Complex, LLC property.
I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and my child participating in Revival Dance Complex, LLC activities and that Revival Dance Complex, LLC does not provide accident or health insurance for those participating in its instruction, activities or programs.
I authorize and agree the Revival Dance Complex, LLC may take and use photographs, videos or likenesses of myself or my child as needed for its record-keeping, advertising and/or public relations projects and that I have no rights to the same and will not be compensated for the same.
My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I am of lawful age and competent to sign this affirmation.
I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND HAVE READ THE SAME PRIOR TO SIGNING.