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Studio Liability Release and Consent to be Contacted

I hereby agree to the following:

 

That I am participating in the dance, exercise, wellness, and/or martial arts classes, or photography and videography sessions held on the premises of Damsha Creative Studios LTD. during which I will receive information and instruction. I recognize that dance, movement, exercise, and other wellness-related activities require physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the classes.

 

I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in the abovementioned classes, programs, and services.

 

In consideration of being permitted to participate in the abovementioned classes, programs, and services, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the abovementioned classes, programs, and services.

 

In further consideration of being permitted to participate in the abovementioned classes, programs, and services, I knowingly, voluntarily, and expressly waive any claim I may have against Damsha Creative Studios LTD. for injuries or damages that I may sustain as a result of participating in the abovementioned classes, programs, and services.

 

I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Damsha Creative Studios LTD. for any injury or death caused by their negligence or other acts.

 

By signing up for and/or attending the abovementioned classes, programs, and services on the premises of Damsha Creative Studios LTD, I hereby affirm that I have read this document and I understand its content and meaning.


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First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
I agree to be contacted by Damsha Creative Studios LTD. via email about upcoming events, promotions, or any other information.
Emergency Contact
First Name*
Last 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.


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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
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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