Studio Usage Request & Injury Waiver Form

Studio Usage & Injury Waiver Form

Enter your requested date and time, dancer and parent names, and sign the waiver to request studio use.
Injury Waiver Clause: By submitting this form, I acknowledge and agree that participation in studio activities and studio usage involves risk of injury. I hereby release and hold harmless the studio, its staff, and affiliates from any and all liability for injuries sustained during studio use.
Requested Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time Needed (Start and End Time)
Dancer's Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Signature (Parent/Guardian or Dancer if 18+)
Should be Empty:

Studio Usage & Injury Waiver Form