AFROKUUMBA
I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Beyond Measure LLC/The AfroKuumba Dance Program, it' officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities hereinafter collectively referred to as "Beyond Measure LLC/The AfroKuumba Dance Program
I hereby agree to release Beyond Measure LLC/The AfroKuumba Dance Program and hold Beyond Measure LLC/The AfroKuumba Dance Program harmless of all liability, and hereby acknowledge that I knowingly and hold of the participant. I hereby agree to release Beyond Measure LLC/The AfroKuumba Dance Program and Beyond Measure LLC/The AfroKuumba Dance Program harmless of a liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all the danger of contracting COVID-19, arising out of active participation in dance on behalf of the participant.
voluntarily behalf assume full responsibility for all risks of physical injury arising out of active participation in dance on
Iam aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of participation. the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of I also give Beyond Measure LLC/The AfroKuumba Dance Program permission to use my child's picture in or on any form of advertisement for Elite Studio of Dance or a Beyond Measure LLC/The AfroKuumba Dance Program affiliated event. If I am a minor, my parent and / or legal guardian has also signed this document releasing Beyond Measure LLC/The AfroKuumba Dance Program from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity. The participant has my permission to participate in Beyond Measure LLC/The AfroKuumba Dance Program. I warrant the below information is complete and correct. I further release Elite Studio of dance of all liabilities associated with my child's attendance at Beyond Measure LLC/The AfroKuumba Dance Program.
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Please list any medications the participant is taking, and any other special medical instructions.
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