I, the student or the parent/ guardian of the child above, have chosen to participate in dance instruction given by ArtLab J (ALJ). I acknowledge that I understand the nature of the activities my child will be participating in and that my child is in the proper physical condition and capable of participating in the related activities, understanding that ArtLab J is not in any way responsible form making such a determination.

In consideration of my / my child’s enrollment in any dance instruction program, I understand and agree on behalf of myself and my child, to release, hold harmless, and discharge ArtLab J from all claims, costs, liabilities, expenses or judgments, including attorneys’ fees and court costs for any occurrences in connection with any dance instruction. I assume all risks to my child in connection with any instruction and further release ArtLab J and its owners and employees from liability for any injury sustained by my child while he or she is enrolled in any dance instruction program, including all risks reasonably connected with such activity whether foreseen or unforeseen.

I understand that ArtLab J is not responsible for my child or other children under my supervision who are left unsupervised in the common areas and areas surrounding the dance studio and that ArtLab J will only be supervising my child when he or she is participating in scheduled dance activities, programs or instruction.

I understand that ArtLab J is not responsible for personal property that is lost, damaged or stolen while I or my child is at or on ArtLab J property.

I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and my child participating in ArtLab J activities and that ArtLab J does not provide accident or health insurance for those participating in its instruction, activities or programs.

My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I am of lawful age and competent to sign this affirmation.