ASSUMPTION OF RISK:
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT,
including by way of example and not limitation, any risks that may arise from negligence or
carelessness on the part of the persons or entities being released, from dangerous or defective
equipment or property owned, maintained, or controlled by them, or because of their possible
liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in the
activity or event, and have not been advised to not participate by a qualified medical
professional. I certify that there are no health-related reasons or problems which preclude my
participation in this activity or event.
I certify that I am in good health and that I do not pose a health risk to the public.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event
holders, sponsors, and organizers of the activity or event in which I may participate, and that it
will govern my actions and responsibilities at said activity or event. In consideration of my
application and permitting me to participate in this event, I hereby take action for myself, my
executors, administrators, heirs, next of kin, successors, and assigns as follows:
I HEREBY WAIVE, RELEASE, AND DISCHARGE North Shore Dance Studio and all divisions
thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents,
natural disasters and/or acts of God incurred during participation in and/or instruction of camps,
private lessons, or any activity I may participate.
I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to,
liability arising from the negligence or fault of the entities or persons released, for my death,
disability, personal injury, property damage, property theft, or actions of any kind which may
hereafter occur to me including my traveling to and from this event, THE FOLLOWING
ENTITIES OR PERSONS: North Shore Dance Studio and their employees, volunteers, or the
activity or event holders, activity or event sponsors, activity or event volunteers.
I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons
mentioned in this waiver, release and registration form from any and all liabilities or claims made
as a result of participation in this activity or event, whether caused by the negligence of release
or otherwise. The accident waiver and release of liability shall be construed broadly to provide a
release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS
CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I
SIGN IT OF MY OWN FREE WILL.
PARENT / GUARDIAN WAIVER FOR MINORS (Only if student is under 18 years old)
The undersigned parent and natural guardian does hereby represent that he/she is, in fact,
acting in such capacity, has consented to his/her child or ward’s participation in the activity or
event, and has agreed individually and on behalf of the child or ward, to the terms of the
accident waiver and release of liability set forth above. The undersigned parent or guardian
further agrees to save and hold harmless and indemnify each and all of the parties referred to
above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon
said parties because of any defect in or lack of such capacity to so act and release said parties
on behalf of the minor, the parents, of the legal guardian.
LIABILITY:
I/My child (if under 18) plan(s) to participate in programming that will take place at The
Florentina School of Dance (Florentina LLC) located at 5225A West Broward Blvd, Plantation,
FL 33317.
I/we understand that dance training requires sustained, repetitive, vigorous physical activity. I/we
understand that participants engage in a broad range of movements, including bending,
twisting, running, leaping and lifting, which place extreme demands on the human body,
including stress of joints and ligaments, repetitive impact, and occasional falls, slips and
collisions with other participants and objects. I/we also understand that dance instruction
involves kinetic corrections that may include physically touching the student as part of regular
class work or rehearsals.
I/we understand that, despite precautions, there are inherent risks of serious personal injury
involved in these activities. By signing this release form, I/we acknowledge and assume all risks
of participation in programming taking place in FSD's studios.
I/we further understand that The Florentina School of Dance is located inside host
institutions and that I must remain in the studios, the adjacent lobbies, and assigned rest rooms
for the spaces. I agree to take full responsibility for my/my party’s behavior and for any damage
I/my party may cause to the facilities utilized by The Florentina School of Dance.
I/we agree to release, indemnify and hold harmless The Florentina School of Dance including its
teachers, dancers, staff members, and Board of Directors from any liability, damages, causes of
action, claims, or demands, now and in the future, that may arise as a result of my/my party's
participation in programs held in FSD's studios. I/we will not hold The Florentina School of Dance liable for any personal injury or any property damage caused in whole or in part by my
participation in programs held in FSD's studios.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS
CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND I AGREE TO BE
BOUND BY IT.