Polaris Dance Institute, LLC
Acknowledgement, Release and Waiver of Liability
I understand that there are certain risks of physical injury, severe or otherwise, associated with, arising out of, and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I hereby knowingly and voluntarily waive all rights and/or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Polaris Dance Institute, LLC, its officers, agents, employees, instructors, and all affiliated persons or entities (collectively referred to as "Polaris Dance Institute").
I agree to release Polaris Dance Institute and hold Polaris Dance Institute harmless of all liability, and acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance.
I agree that this applies to any Polaris Dance Institute sponsored outside activity or event, regardless of location.
I hereby certify that I am capable of participating in the activities of Polaris Dance Institute and I am healthy and have no physical or mental disabilities or infirmities that would restrict full participation in dance activities except those provided on the registration form.
This Agreement shall be governed by the laws of the Commonwealth of Virginia.
In the event that any portion of this Release and Waiver shall be declared invalid, unenforceable, or void by a court of competent jurisdiction, the remaining provisions of this Release and Waiver shall remain in full force and effect.
I have read and understand this waiver and release of liability and assumption of the risk.