RELEASE FORM (must be signed to attend class). I release Dance Elements Academy LLC, Christie Burgess, all instructors, employees & associatesOr individuals from responsibility in event of injury to me, my child and/or those in my care.

I hereby grant permission to Dance Elements Academy (DEA) to use photographs and/or video of me taken throughout the Dance year in publications, news releases, online, and in other communications related to the mission of DEA.