Loading...

Release of Liability for participants and guests of California Dance Theatre.

​I wish to participate in the dance classes conducted at, or under the supervision of, California Dance Theatre, Inc. (“CDT”), including outdoor locations surrounding the CDT building and other sites in the community, which may include aerial dance or acrobatics. I acknowledge that the activities, programs and classes conducted or supervised by CDT involve risks of personal injury, including, without limitation, potentially disabling injuries and diseases, including COVID-19. I, and any parent and/or legal guardian signing this document on my behalf, expressly assume all such risks, known or unknown, that might arise from participation in any activity, program or class conducted or supervised by CDT.

Moreover, I, and any parent and/or legal guardian signing this document on my behalf, knowingly and voluntarily waive and release, to the maximum extent permitted by law, all rights and claims of any kind, including, without limitation, all claims of negligence, against CDT, its owners, officers, agents, employees, contractors, instructors, subsidiaries, or affiliated entities, arising from or connected in any way to participation in any CDT activity, program or class.

I have read this document. I fully understand that this is a release of liability and a contract. I sign it on my own free will.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and offers by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Relationship*

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!