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Waiver & Release

I understand that dance and dance-related activities 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 to the participant. I understand that there is an inherent risk of injury that cannot be eliminated regardless of the care taken to avoid injury. I agree to assume any and all risks of discomfort, injury or death, from any cause or source whatsoever in order to participate in or allow my child to participate in these activities.

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

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 Customer Name

First Name*

Last Name*

Phone*
First Customer Date of Birth*
First Customer Information
Gender*
First Customer Signature*
Second Customer Name

First Name*

Last Name*
Second Customer Date of Birth*
Second Customer Information
Gender*
Third Customer Name

First Name*

Last Name*
Third Customer Date of Birth*
Third Customer Information
Gender*
Fourth Customer Name

First Name*

Last Name*
Fourth Customer Date of Birth*
Fourth Customer Information
Gender*
Fifth Customer Name

First Name*

Last Name*
Fifth Customer Date of Birth*
Fifth Customer Information
Gender*
Sixth Customer Name

First Name*

Last Name*
Sixth Customer Date of Birth*
Sixth Customer Information
Gender*
Seventh Customer Name

First Name*

Last Name*
Seventh Customer Date of Birth*
Seventh Customer Information
Gender*
Eighth Customer Name

First Name*

Last Name*
Eighth Customer Date of Birth*
Eighth Customer Information
Gender*
Ninth Customer Name

First Name*

Last Name*
Ninth Customer Date of Birth*
Ninth Customer Information
Gender*
Tenth Customer Name

First Name*

Last Name*
Tenth Customer Date of Birth*
Tenth Customer Information
Gender*
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.
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Gender*
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.


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