Liability Release & Assumption of Risk Form

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I/we realize that participation in dance classes and activities could result in some possible personal injury. Despite precautions being taken by Twirl Dance Company, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Twirl Dance Company.

I/we agree to release from responsibility Twirl Dance Company, Chestermere, AB including all teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Twirl Dance Company, Chestermere, AB, liable for any personal injury including: scrapes, bruises, cuts, sprains, fractures, broken bones, concussions or death or any personal property damage/loss, which may occur on the premises before, during or after classes.

Parent/ Guardian Initial:*

Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Twirl Dance Company, Chestermere, AB.

Parent/ Guardian Initial: *

I understand that Twirl Dance Company, Chestermere, AB is a licensed and insured organization. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to Tarnia Wallace, owner/instructor, as soon as possible.

Child's Name:*
Parent/ Guardian Name:*
Parent/ Guardian E-mail:*
Date: *
Word Verification: