BOCA LATIN DANCE STUDIO Participant Release and Waiver of Liability
{contact_name} have given permission for {first_name} to participate in classes, performances, workshops, and other activities at Boca Latin Dance Studio of my own free will and certify that I am in proper physical condition to take part in such activities.
Release
In consideration of being allowed to participate in dance classes at Boca Latin Dance Studio, I, on behalf of myself, my heirs, and personal representatives, hereby release and forever discharge Boca Latin Dance Studio (collectively referred to in this document as “BLDS”), its owners, employees, instructors, and affiliates from any and all liabilities, claims, demands, actions, or causes of action, whether at law or in equity, for any bodily injury, personal injury, property damage, or wrongful death arising from my participation in dance classes at the studio.
I voluntarily release and forever discharge and hold harmless BLDS from any and all claims or demands for damages, loss of services, costs and expenses, injuries, attorney fees, and any other call for reparation from any and all injury to {first_name} or property arising in any way from {first_name} participation in dance classes, camps, intensives, workshops, performances, troupes, the use of BSD equipment or facilities, and any activities associated with BLDS.
Risks
I understand that there are risks of physical injury associated with, arising out of, and inherent to dancing. These risks include the potential for slips and falls, sprains, strains, dislocations, soft tissue injuries, musculoskeletal injuries, podiatric conditions, and other risks not specified here. Understanding these risks and the potential for others not listed, I agree to personally accept and assume all of the risks present in {first_name} participation at BLDS. {first_name} participation at BLDS is entirely voluntary, and I choose to allow {first_name} to participate in spite of the risks.
Dance education sometimes requires hands-on instruction as well as verbal instruction. Instructors may correct dancers by touching their arms, legs, feet, hips, back and head to move them in the correct position. I acknowledge that this is a common standard in dance instruction and understand that it is {first_name} responsibility to communicate clearly with my teacher and/or the director if any form of touch is unacceptable to them.
Medical Treatment and Insurance
I understand that BLDS does not assume any responsibility for or obligation to provide financial or other assistance in the event of injury or illness, including but not limited to medical, health, or disability insurance or support.
I authorize BLDS to obtain necessary medical or dental treatment, including first aid, ambulance transport, hospitalization, or such other care necessary for {first_name} health and welfare in an emergency. If my insurance does not cover emergency treatment that is deemed necessary and sought for {first_name} by BLDS, I agree to be responsible for and pay all costs incurred on my behalf.
I release and discharge BLDS from any claim which may arise on account of any first aid, treatment, or service rendered in connection with {first_name} participation in BLDS activities or with the decision by any representative or agent of BLDS to consent to medical or dental treatment on my behalf in an emergency.
I understand that BSD does not carry or maintain health, medical, dental, or disability insurance coverage for any participant. I agree to take responsibility for full payment of any emergency medical or dental costs related to {first_name} BLDS participation regardless of whether they have insurance coverage.
Photographic Release
I understand that BLDS may take photo and video recordings of {first_name} during their participation in BLDS classes and activities. I convey to BLDS full rights and interest in these recordings. I understand such recordings may be used in advertising or other published materials, physical or virtual.
Miscellaneous
While a participant at BLSD, I agree to abide by any rules, codes, and policies that are put in place by BLSD before or at any time during {first_name} participation. If I have questions or concerns regarding any policies or decisions made by any representative of BLSD, I agree to bring them promptly and specifically to the director or owners attention.
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I {contact_name} certify that I have read the Boca Latin Dance Studio Participant Release and Waiver of Liability and agree to to be bound by the terms included in the document, in consideration of {first_name} participation in dance classes and related activities at Boca Latin Dance Studio.
The Release and Waiver of Liability shall be binding on my heirs, successors and personal representatives. If the participant is a minor, I certify that I have a full legal authority to sign this release on their behalf.