Waiver
Apr 26, 2024 04:18 AM
Infusion Dance 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 Infusion Dance classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Infusion Dance, 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 Infusion Dance. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Infusion Dance, 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.
I also understand and agree that Infusion Dance will have the right to use my photograph or video recorded during practice, performances, and other events for promotional or other business related activities. Permission is granted Infusion Dance to use photographs of students for publicity purposes.
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.
I have read, understood and agree to be bound by the above statement (please print your name, sign & date):
PRINTED:__________________________________________________
SIGNED:___________________________________________________
If under 18, parents or legal guardian must sign
FOR: ______________________________________________________
Name of Student
DATED: _____________________