• Kiki's Crew Presents: Belly Dance with Karina Participant Waiver, Release of Liability & Terms of Participation

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you have any injuries or medical conditions that may affect your participation?*
  • Please read this agreement carefully before participating in any class offered by Kiki's Crew Presents: Belly Dance with Karina.

    By registering for and participating in any class, workshop, or event, I acknowledge and agree to the following:

    1. Voluntary Participation
    I understand that participation in belly dance classes and related fitness activities is voluntary. I choose to participate of my own free will and accept full responsibility for my participation.

    2. Assumption of Risk
    I understand that dance and physical fitness activities involve inherent risks, including but not limited to muscle soreness, strains, sprains, falls, loss of balance, dizziness, joint injuries, and other physical injuries. I knowingly and voluntarily assume all risks associated with participating in these activities.

    3. Health Acknowledgment
    I certify that I am physically able to participate in these classes and have consulted with my physician if I have any concerns regarding my health or physical condition. I agree to participate within my own physical limits and will immediately stop any activity that causes pain, dizziness, discomfort, or injury.

    I agree to inform the instructor of any existing injuries, medical conditions, or physical limitations that may affect my ability to safely participate.

    4. Release of Liability
    To the fullest extent permitted by applicable law, I release and discharge Kiki's Crew, Belly Dance with Karina, the class instructor, the property owner, venue operators, employees, volunteers, contractors, and representatives from claims or liability for personal injury, illness, property damage, or other losses arising from my participation, except where prohibited by law or resulting from conduct for which liability cannot legally be waived.

    5. Emergency Medical Care
    If I become ill or injured during class and emergency medical treatment is deemed necessary, I authorize emergency medical personnel to provide appropriate care. I understand that I am responsible for any medical expenses incurred.

    6. Personal Property
    I understand that I am solely responsible for my personal belongings. Kiki's Crew, Belly Dance with Karina, and the venue are not responsible for lost, stolen, or damaged personal property.

    7. Participant Conduct

    I agree to:

    Follow all instructor directions.
    Respect fellow participants and the facility.
    Wear appropriate clothing and footwear for movement.
    Conduct myself in a safe and respectful manner.
    The instructor reserves the right to remove any participant whose behavior creates an unsafe or disruptive environment.

     

  • 8. Photography & Video Release: I understand that photographs and video may be taken during classes for promotional purposes.Please select one:*
  • 9. Cancellations & Refunds
    Class registrations are subject to the cancellation and refund policy published on the Kiki's Crew website. Missed classes are non-transferable unless otherwise stated.

  • 10. Agreement
    I acknowledge that I have carefully read this Participant Waiver, Release of Liability, and Terms of Participation. I understand its contents and voluntarily agree to its terms. I understand that by checking the agreement box and providing my electronic signature below, I am signing this agreement electronically with the same legal effect as a handwritten signature.

     

  • Date*
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