REGISTRATION, Informed Consent and release

THE ACT OF PARTICIPATION IN CLASS:  I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST THE INSTRUCTORS FOR NEGLIGENCE OR THAT OF STAFF OR ADMINISTRATION.

I have volunteered to participate in a program of physical exercise under the direction of the instructor(s), which will include, but may not be limited dance training, stretch and strengthening. In consideration of the instructor's agreement to instruct, assist and train me, I do here and forever release and discharge and hereby hold harmless the teaching staff and administrator(s) from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting therefrom. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF ANY INJURY THAT MAY OCCUR AS A RESULT OF EXERCISING. Participants are responsible to consider their dance space in terms of safety.

I recognize that exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I understand that it is my right to modify, adapt or sit out of any or all exercises in order to avoid such dancers.

The instructors of the class do not provide medical advice, diagnosis, or treatment.  I recognized that an examination by a physician should be obtained by all participants prior to involvement in any exercise program.  I hereby agree that I am participating in classes at my own risk.

 

In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representation have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.

I UNDERSTAND BY SUBMITTING THIS FORM AND PARTICIPATING IN CLASS THAT I UNDERSTAND AND AGREE TO THE ABOVE INFORMATION AND IT ACTS AS AN ELECTRONIC SIGNATURE.