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WAIVER AND RELEASE OF LIABILITY

In consideration of my voluntary use of the DancePraize facilities, in Arkadelphia, Arkansas, I, the
undersigned, for myself, my heirs, executors, administrators and assigns, hereby waive and release any
and all claims for damages, for death, personal injury, loss of property or property damage that may
subsequently accrue to me or to my heirs, executors, administrators or assigns, as a result of my participation
in dance lessons and other activities conducted at DancePraize. I understand that learning dance presents a
risk of bodily harm, and I knowingly and voluntarily assume that risk.

I, the undersigned, release, waive, discharge and covenant not to sue DancePraize, its employees, agents,
landlord, and other representatives and any promoters, sponsors, volunteers, promoting clubs, event
officials, and any other persons involved, without limitation, from and any and all liability arising out of or
connected in any way with my participation in all above referenced activities, whether that liability may
arise out of negligence or carelessness on the part of the persons or entities mentioned above, or that
liability may arise out of the negligence or carelessness of a person not referenced above. My participation is
voluntary and done at my own risk.

In the event of an emergency where medical treatment is required, I give my permission for employees
or volunteers of DancePraize to obtain the services of a licensed physician, and I agree to be financially
responsible for any such charges.

I hereby give permission for DancePraize to take photos or videos of myself (or my child) for promotional
purposes of the studio.

I have read and understand everything written above and I knowingly and voluntarily sign this document.
THIS FORM IS INVALID WITHOUT A SIGNATURE. IF THE APPLICANT IS UNDER 18 YEARS OF AGE, THE
SIGNATURE OF A PARENT OR GUARDIAN OF THE APPLICANT IS REQUIRED.

In consideration of my voluntary use of the DancePraize facilities, in Arkadelphia, Arkansas, I, the undersigned, for myself, my heirs, executors, administrators and assigns, hereby waive and release any and all claims for damages, for death, personal injury, loss of property or property damage that may subsequently accrue to me or to my heirs, executors, administrators or assigns, as a result of my participation in dance lessons and other activities conducted at DancePraize. I understand that learning dance presents a risk of bodily harm, and I knowingly and voluntarily assume that risk.
I, the undersigned, release, waive, discharge and covenant not to sue DancePraize, its employees, agents, landlord, and other representatives and any promoters, sponsors, volunteers, promoting clubs, event officials, and any other persons involved, without limitation, from and any and all liability arising out of or connected in any way with my participation in all above referenced activities, whether that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above, or that liability may arise out of the negligence or carelessness of a person not referenced above. My participation is voluntary and done at my own risk.
In the event of an emergency where medical treatment is required, I give my permission for employees or volunteers of DancePraize to obtain the services of a licensed physician, and I agree to be financially responsible for any such charges.
I hereby give permission for DancePraize to take photos or videos of myself (or my child) for promotional purposes of the studio.

I have read and understand everything written above and I knowingly and voluntarily agree to this document.