race & Movement
we realize that participation in dance and fitness 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 Grace & Movement, which is a part of Grace & Wellness.
I/we agree to release and hold harmless Grace & Movement and Grace & Wellness, including its teachers , dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Grace & Movement School of Dance and Fitness 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/ourbehavior in addition to any damage I/we may cause to the facilities utilized by Grace & Movement.
I understand that Grace & Movement is a licensed and insured business. 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 Owner, Director, Instructor or Staff member as soon as possible.
Dancer’s Name: _________________________________________________ Age: ___________
(Print)
Dancer’s Signature: _____________________________________________ Date: ____________
(If unable to sign, parent/guardian sign only)
Parent/Guardian Name: ________________________________________Phone: ___________
(Print)
Parent/Guardian Signature: _____________________________________ Date: ____________