Liability Waiver Form


Dance Stars Academy
I/we realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Dance Stars Academy.
I/we agree to release and hold harmless Dance Stars Academy including its teachers, dancers, staff members and facilities used by Dance Stars Academy from any cause of action, claims, or demands now and in the future. I/we will not hold Dance Stars Academy liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Dance Stars Academy.
I understand that Dance Stars Academy is licensed, accredited and insured. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Executive Director, Artistic Director, Individual Instructor or staff member as soon as possible.

Dancer’s Name:_____________________________________ Age:_________________
Dancer’s Signature:__________________________________ Date:_________________
(If unable to sign, parent/Guardian Sign Only)
Parent Guardian Name:_______________________________ Phone:________________

Parent Guardian Signature:____________________________ Date_________________