LAKESIDE DANCE
Liability Waiver Form

I/we realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Lakeside Dance.

I/we agree to release and hold harmless Lakeside Dance including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Lakeside Dance liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Lakeside Dance.

I understand that Lakeside Dance is a licensed and insured business. In the event I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Owner, Director, Instructors or Staff member as soon as possible.

Dancer’s Signature:
________________________

Date: ____________________

(If unable to sign, parent/guardian sign only)

Parent/Guardian Name:

___________________________

Phone:______________________

Parent/Guardian Signature:

____________________________

Date: _______________________

Thank you!