I, the undersigned, am either the Participant named below or the parent and/or legal guardian (“Guardian/Parent”) of the minor Participant named below. I will participate or hereby authorize the Participant to participate in the dance program being offered at Local Motion Dance Studio with Mekenzie Hawker Sprague, and/or her assistant teachers teaching the dance course. I understand that such participation in the dance course comes with inherent risks, involves physical activities, requires flexibility and strain on the body, and other foreseeable or unforeseeable risks including potential negligence that I am aware of. I further understand that the risks included in the dance course may be, but not limited to, risk of personal injury, severe injuries, sprains, strains, broken bones, permanent paralysis, long or short term joint injury, or death. I understand that such injuries may result from following instructions given by the instructor or others in the course or may result from being on the premise where customers of Local Motion Dance Studio are doing other activities.

In consideration of participating in the dance course at Local Motion Dance Studio, Participant or Guardian/Parent freely and voluntarily participates or allows participation in the dance course and fully assumes those risks. Participant or Guardian/Parent of Participant understands and acknowledge that Local Motion Dance Studio and Mekenzie Hawker Sprague is not an insurer of Participant’s behavior, actions or participation in the dance course, and that Local Motion Dance Studio and Mekenzie Hawker Sprague assumes no liability whatsoever for the risks mentioned above and other personal injuries or property damage to Participant or to third persons arising out of participation in the dance course. Not to include actions by Local Motion Dance Studio and/or Mekenzie Hawker Sprague which are intentional or grossly negligent in causing harm to Participant.

Participant or Guardian/Parent hereby agrees to release, waive, covenant not to sue, indemnify and hold harmless Local Motion Dance Studio, Mekenzie Hawker Sprague and any of her related companies, officers, directors, instructors, employees, and agents (collectively the “Releasees”) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to participation in the dance course including but not limited to the risks mentioned above, negligence of Local Motion Dance Studio or Mekenzie Hawker Sprague any loss, damage, or injury, including death, that may be sustained by Participant or loss or damage to any property belonging to Participant, and excepting only such loss, damage, or injury as may be caused by the intentional or grossly negligent act of Local Motion Dance Studio and/or Mekenzie Hawker Sprague.

This agreement and any injury which results from participation in the dance course shall be governed by the laws of the State of Utah and the forum for any suit shall be the 3rd District Court of Salt Lake County.
Participant does not have any medical conditions that would prevent or increase the risk of harm to Participant in the dance course. Participant has adequate health insurance to cover the costs of treatment in the event of any injury.
Participant and or Guardian/Parent shall pay any attorney fees or costs incurred by Local Motion Dance Studio or Mekenzie Hawker Sprague in enforcing this Agreement.

PARTICIPANT OR GUARDIAN/PARENT OF PARTICIPANT HAS CAREFULLY READ THESE TERMS AND FULLY UNDERSTANDS ITS CONTENT AND IS AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN PARTICIPANT AND/OR GUARDIAN/PARENT OF PARTICIPANT AND THE RELEASES AND SIGNS IT OF HIS OR HER OWN FREE WILL.