Loading...

Waiver & Release

I understand that Alaska Dance Promotions (ADP) is a private membership studio and not open to the general public. I understand that ADP has the right to refuse service and revoke my membership based on any number of issues included but not limited to nonpayment, conflict of interest, inappropriate behavior... I understand dance and dance-related activity is a physical activity that involves physical contact between the instructors and other dancers and dance students. I understand the dance and dance-related activities present a risk of injury or illness to the participant. I understand that there is are inherent risks of injury or illness that cannot be eliminated regardless of the care taken. I agree to assume any and all risks of discomfort, illness, injury or death, from any cause or source whatsoever in order to participate in or allow my child to participate in these activities at or with ADP.

I am aware that pictures of the dance classes or events in progress may be used as promotional or instructional material for ADP and that my image may be used in any number of marketing efforts for ADP.

I do hereby release and forever discharge Alaska Dance Promotions LLC., Alaska Dance Productions, any dance teacher, their predecessors and successors, employees, owners, agents, and assigns, and all other persons, corporations, and entities from all claims, expenses, attorney fees, and causes of action or suits of any kind or nature associated with the my involvement with any of the classes, events, shows or any other associated activity with Alaska Dance Promotions.

I HAVE CAREFULLY READ THIS AGREEMENT and fully understand its contents. I am aware that this is a RELEASE OF LIABILITY and a CONTRACT between myself and Alaska Dance Promotions LLC. Alaska Dance Productions, its representatives, owners, employees, affiliates, as well as a guest or customer renting the studio or contracted by the studio to provide any service and I sign of my own free will.

First Member Name

First Name*

Last Name*

Phone*
First Member Date of Birth*
First Member Signature*
Second Member Name

First Name*

Last Name*
Second Member Date of Birth*
Third Member Name

First Name*

Last Name*
Third Member Date of Birth*
Fourth Member Name

First Name*

Last Name*
Fourth Member Date of Birth*
Fifth Member Name

First Name*

Last Name*
Fifth Member Date of Birth*
Sixth Member Name

First Name*

Last Name*
Sixth Member Date of Birth*
Seventh Member Name

First Name*

Last Name*
Seventh Member Date of Birth*
Eighth Member Name

First Name*

Last Name*
Eighth Member Date of Birth*
Ninth Member Name

First Name*

Last Name*
Ninth Member Date of Birth*
Tenth Member Name

First Name*

Last Name*
Tenth Member Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive email invites to our dance parties and be included on our guest list.
Click to customize section title
How did you hear about us?
A Friend
Instagram
Facebook
Google
Other
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!