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Young Dancers in Ballet Class

REGISTRATIONFORM

Barre Belle Liability Release and Program Participation Form

I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right 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 Barre Belle and its instructors.


I hereby agree to release Barre Belle and Barre Belle harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of the participant.


I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation.


I also give Barre Belle permission to use my child’s picture in or on any form of advertisement for Barre Belle or a Barre Belle affiliated event.


If I am a minor, my parent and / or legal guardian has also signed this document releasing Barre Belle from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity.


The participant has my permission to participate in Barre Belle events. I warrant the below information is complete and correct. I further release Barre Belle of all liabilities associated with my child’s attendance at Barre Belle’s classes and events.

Participant Birthday
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