Liability Waiver | Boutique Dance

Liability Waiver
and Acknowledgment of Risk:

Participants First Name

Participants Last Name

Participants Date of Birth

I understand and agree that in participating in any dance class, workshop, rehearsal or performance, whether it is at the studio or another venue, 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 Boutique Dance Academy’s classes, rehearsals, performances, or activities, including any automobile ride which I have asked a faculty member, owner, or employee to give my child. I also exempt, release, and indemnify Boutique Dance Academy, its owner, 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 Boutique Dance Academy. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Boutique Dance Academy, its owner, 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 grant permission to, Boutique Dance Academy, to use their image in photos and videos for advertising and publicity purposes, inclusive of print advertising, educational videos, television, videotaping, or film broadcast in connection with promotional campaigns. 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.

Please specify anything we should know about

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Signature of Aknowledgment - Please type participants full name to aknowledge you have read and agree to the above terms

Signature of Aknowledgement - If under 18, parent or legal guardian to also type their full name to aknowledge that you have read and agree to the above terms

Your waiver has been submitted!

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Liability Waiver
and Acknowledgment of Risk:

303-918-1551

880 W Happy Canyon Road
Suite 201
Castle Rock, CO 80108

Studio@boutiquedanceacademy.com

Liability Waiver and Acknowledgment of Risk:

Liability Waiver
and Acknowledgment of Risk: