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ADULT WAIVER
ADULT WAIVER
WAIVER: ADULT
First and Last Name
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Date
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Street address, city, state, zip code
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Email
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Phone number for text updates on possible class cancellations
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Emergency contact:
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Emergency contact phone number:
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I am aware that participating in any dance classes and acrobatic dance/tumbling (acro-dance) involves inherent risks and hazards. I freely accept and fully assume all such risks, dangers, and hazards and the possibility of bodily or personal injury, property damage, or loss resulting from such risks and hazards. I voluntarily agree to release Grace Christian Dance Company, LLC, Grace Christian Dance Company, LLC’s employees/volunteers/contractors and Danielle Black from any and all liability for any loss, damage, injury or expense that I or my next of kin, successors or dependents may suffer or incur as a result of participation in classes, camps, demonstrations, performances or athletic activity due to any cause whatsoever.
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I agree
I understand that Grace Christian Dance Company, LLC, Danielle Black, Grace Christian Dance Company, LLC employees, volunteers and/or contractors will not assume responsibility for any lost or stolen property.
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I agree
I also hereby grant Grace Christian Dance Company, LLC permission to use my likeness in photographs and videos. These images may appear on gracechristiandance.com, Facebook, Instagram or any promotional materials used in association with Grace Christian Dance Company, LLC. My name and personal information will not be printed. I understand and agree that these images will become the property of Grace Christian Dance Company, LLC and I hereby irrevocable give permission for Grace Christian Dance Company, LLC to edit, copy, exhibit, publish or distribute these images for any lawful and moral purpose.
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I agree
By signing below I acknowledge that I have read the foregoing waivers and understand all content; that I fully competent to give my consent; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing these Liability Release Waivers as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.
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