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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 619Dancers, it’ officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as “619Dancers”.
I hereby agree to release 619Dancers 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.
I also give 619Dancers permission to use my picture in or on any form of advertisement for 619dancers or affiliated event.
If I am a minor, my parent and / or legal guardian has also signed this document releasing 619dancers 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 619Dancers Events. I warrant the below information is complete and correct. I further release Elite Studio of dance of all liabilities associated with my child’s attendance at 619Dancers.
