Liability Release Form

May 26, 2024 04:14 PM

Dance Student & Dance Team Participation Acknowledgment and Release

I, __________________, acknowledge that I am voluntarily choosing to participate in dance class or dance team activities. I understand that the Dancenter does not provide or carry any form of accident or liability insurance applicable to such activities. I further understand that the Dancenter is not responsible for any damages or injuries that occur while myself or my child are participating in club activities. I accept any and all responsibility for damages or injuries that may occur as a result of my participation.

I acknowledge and accept the risks that accompany my participation in club activities and I am aware of the danger that includes but is not limited to property damage, damage to joints, ligaments, muscles, bone, eyes, neck, spine, as well as the possibility of death. I voluntarily assume the risks and responsibilities associated with this participation. I acknowledge and accept that I am responsible for my own actions and that the Dancenter does not provide or carry any form of accident or liability insurance applicable to my participation related activities for the time that me or my child is enrolled in class.

I further agree to release, defend, exonerate and hold harmless the Dancenter, and their agents, officers, administrators, employees and all their other persons, firms, corporations, associations and partnerships, both individually and in their official capacity, or and from any and all claims, actions, causes of actions, disabilities, demands, rights, damages, costs, expenses and compensation whatsoever, which I now have or which may hereafter accrue on account of or in any way growing out of any and all known and unknown, foreseen and unforeseen bodily and personal injuries and property damage as a result of an occurrence of any injury to me or my child, or to any and all other person or property including without limitation death or any permanent disability which may be claimed as a result of my participation in the classes or in the team activities.

I further declare and represent that no promise, inducement or agreement has been made to me: that this Release contains the entire agreement between the parties; and that the terms of this Release are contractual and not a mere recital.

These terms shall serve as a release and assumption of risk for my heirs, estate, executor, administrator, assignees and all members of my family. I have read and understand this Acknowledgment and Release and sign this as a free and voluntary act.

This Release will remain in effect as long as the student is attending classes at
Dancener by Lori.