Bring a Friend Week Participation Waiver

Bring a Friend Week Participation Waiver

Please complete one waiver per participant.
Guardian's Full Name

First NameLast Name
Guardian's Email
example@example.com
Guardian's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant's Full Name

First NameLast Name
Friend that invited you to class:

First NameLast Name
Participation Waiver:

In consideration of me (or my child/ward) being allowed to engage in programs/activities, I hereby personally assume all risks in connection with these activities and I release the instructors, supervisors, owners, and the Byron Park District and Byron Dance Academy for any injury or damage, and further, I save and hold harmless the instructors, supervisors, owners, and the Byron Park District and Byron Dance Academy from any claim by me, my family, estate, heirs or assigns, arising out of my enrollment and participation.
Guardian's Signature
Should be Empty: