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RELEASE OF LIABILITY AND ASSUMPTION OF RISK

The individual named below (“Participant”) desires to participate in dance instruction and training (the “Activity”) provided by Heighten Your Performance, LLC, a Michigan limited liability company doing business as LoMI Studios (“LoMI Studios”). In consideration of being permitted to participate in the Activity and in recognition of LoMI Studios’ reliance hereon, Participant agrees to all the terms and conditions set forth in this instrument (this “Release”).

Participant is aware and understands that the activity involves the risk of injury, disability, and/or death (including all risks for exposure to COVID-19 and/or other communicable diseases). Participant acknowledges that any injuries that participant sustains may result from or be compounded by the actions, omissions, or negligence of LoMI Studios. Notwithstanding the risk, Participant acknowledges that Participant is voluntarily participating in the activity with knowledge of the risks involved and hereby agrees to accept and assume any and all risks of injury, disability, and/or death arising from my participation in the activity.

Participant hereby expressly waives and releases any and all claims, now known or hereafter known, against LoMI Studios, its members, managers, and its successors and assigns (collectively, “Releasees”), on account of injury, disability, or death arising out of or attributable to my participation in the Activity, whether arising out of the ordinary negligence of LoMI Studios or any Releasees or otherwise. Participant covenants not to make or bring any such claim against LoMI Studios or any other Releasee, and forever release and discharge LoMI Studios and all other Releasees from liability under such claims. This Release constitutes the sole and entire agreement of the Host and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter.

BY SIGNING, PARTICIPANT ACKNOWLEDGES THAT IT HAS READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT PARTICIPANT IS VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE STUDIO.

Today's date: February 28, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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.

I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release.



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*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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