In full consideration of the risk of injury while participating in the Zumba Fitness with Sandra Molon, and for the right to participate in Zumba Fitness with Sandra Molon, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in Zumba Fitness with Sandra Molon, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating in Zumba Fitness which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.

 Photo/Video release: I hereby give permission for my image to be captured, during Zumba® Fitness class through video, photo and digital camera. Photos may be posted on Sandra Molon’s & other instructor’s website and/or Facebook. I waive any rights of compensation or ownership of the photos.

I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge Sandra Molon of any and all claims or causes ofaction and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.