Release of Liability: I/we understand that strict observation by me, of the rules and regulations of Kingsley Dance Company, as well as all affiliates of Kingsley Dance Company, including the use of protective equipment, will largely eliminate the possibility of accident or injury, and I/we hereby represent that I am physically fit to take the prescribed course of instruction. I have chosen and voluntarily agree to use the facilities, equipment and resources provided by Kingsley Dance Company at my own risk with knowledge of the risks involved. I further understand and agree that I release from liability and waive all claims or actions for personal injury or death or property damage or loss against Kingsley Dance Company, its owners, officers, operators, employees, and affiliated persons, whether caused by the fault, negligence, omission, or any other act however caused, of Kingsley Dance Company coaching, as well as all affiliates of Kingsley Dance Company. This release of liability also includes any event we may be participating outside of the studio.
Medical Authorization: I hereby authorize the staff of Kingsley Dance Company to act for me according to their judgment in any emergency requiring medical attention, and hereby waive and release the studio and its staff from all liability for injuries or illness incurred while attending any classes. I have no knowledge of any physical impairment that may affect the student participation in the program, and I have read and understand the terms.
Photo Release: I give my permission and consent for my child or myself, to be photographed or videoed for advertising and promotion purposes.

Participant/Parent Signature: _____________________________________________ Date: _____________