Solo Title Prior Injury Report

(Injuries sustained in the last 6 months)

GENERAL RELEASE FORM

I hereby acknowledge the personal data herein set forth is correct.

As a parent of an contestant under the age of eighteen (18), I give my permission for (s)he to be photographed and recorded during the 2026 National Convention/Solo Title Scholarship Competition. As a contestant over the age of eighteen (18), I give my permission to be photographed and recorded during the 2026 National Convention/Solo Title Scholarship Competition.

It is my understanding that the photographs and recordings will be used solely for Dance Masters of America, Inc. at their discretion and in a manner benefiting their high standards. It is further my understanding that these photographs and recordings may be offered for sale.

In consideration of being accepted as a contestant in the 2026 Dance Masters of America Solo Title Scholarship Competition, I do herby release Dance Masters of Amercia, Inc., the Officers of the Organization, Directors, and Assistants of the Competition, and Foxwoods Resort Casino, from any and all claims for damages or injuries, which the contestant may sustain while participating as a contestant in any activity connected with this Convention and Competition. I have also read the Official Rules of the 2026 Dance Masters of America, Inc. Solo Title Scholarship Competition and do hereby agree to comply with said rules and regulations now in effect or as announced thereafter.

I do hereby affirm that the information provided is true and accurate.

ELECTRONIC SIGNATURE AGREEMENT

I am signing this agreement electronically by selecting the "I Accept" checkboxes above. I agree this electronic signature is the legal equivalent of my manual signature on this agreement.

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.