By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that the activities held at The X-Perience Dance Company are physical in conduct and could potentially result injury. I am aware of the potential risk associated with dance. However, XDC will not be held accountable in the event of a dance/ acrobatic or any physical activity related injury. Upon enrollment, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.