Intrinsic Bellydance Waiver & Liability Release
Every participant or parent/guardian of a participant must complete, sign, and date this form before participating in any class or workshop activity. Complete a SEPARATE form for each person.
Name
*
First Name
Last Name
Email
*
example@example.com
Today's Date
*
-
Month
-
Day
Year
Date
Phone Number
*
*Complete a SEPARATE waiver for yourself and each participant. If signing this waiver on behalf of another person (child/guardianship) Please enter their name below.
Participant's name
Disclaimer
LIABILITY & RELEASE WAIVER (note: checkbox will not be enabled until waiver has been read)
Submit
Should be Empty: