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Motivate Dance LLC Liability Waiver
and Acknowledgment of Risk:
 
READ AND CHECK BOX BELOW

REGISTRATION IS INCOMPLETE WITHOUT CHECKING BOX BELOW 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 Motivate Dance LLC classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Motivate Dance, its owners, agents, landlords, 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 Motivate Dance LLC. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Motivate Dance LLC, its owners, agents, landlords, 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 to Motivate Dance LLC to use photographs and video of students for publicity purposes.
 
By checking the box below, I acknowledge that I have read, understood and agree to be bound by the above statement.