I am aware that my/my Child's participation in dance and/or yoga activities may result in accident or injury, and I assume all risks connected with participation in the activities of Erica Collins Co., LLC DBA Harmony Dance. If my child is under the age of 7, I agree to remain on the premises during my child's class time. I/My child are in good health and suffer from no physical impairment that would limit use of the facilities and programs of Erica Collins Co., LLC DBA Harmony Dance. I acknowledge that Erica Collins Co., LLC DBA Harmony Dance has not and will not render any medical services or diagnosis of my physical condition. I specifically agree that Erica Collins Co., LLC DBA Harmony Dance it's owners, teachers, employees, chaperones, agents, landlord and lessors shall not be held liable for any claim, demand, cause of action or any kind whatsoever for, or on account of death, personal injury, property damage or loss of any kind resulting from or related to my use of the facilities or participation in any sport, dance, exercise, or activity within or without the Erica Collins Co., LLC DBA Harmony Dance premises and agree to hold Erica Collins Co., LLC DBA Harmony Dance harmless from same.
I further represent that on behalf of my child/self a physician's consultation has been obtained and the student is physically capable of participating in all forms of exercise necessary for the instruction of dance/yoga. I agree to assume full responsibility for all injuries, medical expenses, damages and/or losses that may be incurred while at or a student of Erica Collins Co., LLC DBA Harmony Dance
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.