Bellevue Dance Center

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 Bellevue Dance Center, it’ officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as “Bellevue Dance Center”.

 

I hereby agree to release Bellevue Dance Center and hold Bellevue Dance Center 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 acknowledgment 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.

 

If I am a minor, my parent and/or legal guardian has also signed this document releasing Bellevue Dance Center 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 Bellevue Dance Center events. I warrant the below information is complete and correct. I further release Bellevue Dance Center of all liabilities associated with my child’s attendance at Bellevue Dance Center.

Parent/Guardian Signature

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