In consideration of being permitted to participate in classes offered by Westwood Baptist Church dba Westwood Ballet (hereinafter “Westwood Artsâ€), the parent(s) and/or legal guardian(s) of the minor child named below, or the name of the adult participating in class, hereby acknowledge, accept and state the following:
1. Participation in an exercise program of any kind, and specifically a dance program, has inherent risks, including the possibility of serious and permanent injury. I acknowledge that it is not possible for Westwood Arts, nor any instructors, to guarantee absolute safety, and on behalf of my child, or myself (adult), ____________________________, I hereby assume the risks of his/her participation in this program.

2. While recognizing these risks, I attest that my child, or myself, is able to participate in the various physical activities associated with these dance classes, activities, or performances. If I determine that such activities are unsafe, I will promptly notify the instructor and take immediate precautions to protect my child, or myself.
3. I hereby release, waive, discharge and covenant not to sue Westwood Baptist Church dba Westwood Ballet/ Westwood Arts, nor any of the owners, members, directors, instructors, managers, agents, employees, volunteer assistants or others who give recommendations, directions, or instructions on their behalf (hereinafter referred to “Releaseesâ€) from all liability to my child or myself, and our heirs and assigns, for any and all claims, injuries, demands, losses, or damages on account of injuries to my child, or myself, or property arising out of or alleged to be related to or caused by participation in this program, including those alleged to be caused by the negligence of said Releasees. I further agree to indemnify and hold harmless the Releasees for any such claims.
I have read and understand this release, waiver and indemnification agreement and voluntarily sign/click the agreement box below. The signature of one parent/guardian is deemed to be given with the consent, authority, and agreement of any other parent/guardian.