I am over the age of 18 years of age.
Soul Steppin’ Studio Liability Waiver
and Acknowledgment of Risk:
READ AND SIGN BELOW
REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE AND MUST BE COMPLETED BEFORE CLASS
I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of Soul Steppin’ Studio classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Soul Steppin’ Studio, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by Soul Steppin’ Studio. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Soul Steppin’ Studio, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.
Permission is granted Soul Steppin’ Studio to use photographs of students for publicity purposes.
I have read, understood and agree to be bound by the above statement (please print your name, sign & date):
Soul Steppin’ Studio
Liability Release Form
I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Soul Steppin’ Studio, it’ officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as “Soul Steppin’ Studio”. I hereby agree to release Soul Steppin’ Studio and hold Soul Steppin’ Studio harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of the participant. I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation.
If I am a minor, my parent and / or legal guardian has also signed this document releasing Soul Steppin’ Studio from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity. The participant has my permission to participate in Soul Steppin’ Studio Events. I warrant the below information is complete and correct. I further release Soul Steppin’ Studio of all liabilities associated with my child’s attendance at Soul Steppin’ Studio.
Parent/ Guardian Signature Date
Participant’s Name Date
Please list any medications the participant is taking, and any other special medical instructions.
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