Student Waiver

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Tarifa Salem Eastern Dance Arts, LLC
Liability Waiver and Acknowledgment of Risk

Tarifa Salem Eastern Dance Arts, LLC, a Florida Limited Liability Company will make all efforts to help students avoid injury, however, it is important that you understand and agree that in participating in any dance class, fitness class, workshop, rehearsal or performance, there is a possibility of physical injury.

Please Read Carefully and Sign Below.  Registration is Incomplete without signature and must be completed before your first class.

I hereby acknowledge and agree to be bound by all the terms set forth herein in this Liability Waiver and Acknowledgement of Risk.

I voluntarily agree to assume all risks and responsibility for any injury or accident, which might occur to me or my child during any of Tarifa Salem Eastern Dance Arts classes, rehearsals, performances or workshops.

I also exempt, release and indemnify Tarifa Salem Eastern Dance Arts, it’s owner, agents, volunteers, assistants, faculty members, guest artists, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by Tarifa Salem Eastern Dance Arts.

I further voluntarily agree to waive my rights and that of my heirs and assigns to hold Tarifa Salem Eastern Dance Arts, the owner, agents, volunteers, assistants, faculty members, guest artists and/or students liable for such damage, loss, injury or death.

I understand that I should be aware of my physical limitations and agree not to exceed them.  If I am signing this waiver for my child/children, I certify that I am the parent or legal guardian and have the right to waive these rights.  I further hereby voluntarily agree that, for no additional consideration, Tarifa Salem Eastern Dance Arts shall have the right to use photographs of me (or my child) for publicity purposes.

My signature is proof of my intention to execute a complete and unconditional waiver of all liability, either on behalf of my minor child or on my own behalf, to the fullest extent of the law.

I have read, understood and agree to be bound by the above statements:

PRINTED NAME: ____________________________________________

SIGNATURE: ___________________________DATE:_______________

FOR (NAME OF CHILD): _______________________________________

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