Private Coaching Waiver

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Name *

Phone Number *

Email Address *

Waiver of Participant by Parent (or self if over 18 years old): *

Understanding that dance is a physical activity, I hereby waive and release Dance Progressions and its’ instructors from all rights and claims for damages caused by participating in such activity. I accept all responsibility for any condition that may arise due to participating in the dance or exercise programming at the Dance Progressions facility and/or any off site Dance Progressions sponsored event or performance. I understand that there is an inherent risk of injury associated with dance related activity and I authorize emergency medical treatment and transportation to a medical facility in my absence.

Signed

Press/Photo Release: *

Dance Progressions may videotape or take photographs of participants enrolled in a dance, exercise or performing arts program. Dance Progressions may videotape or take photographs of participants taking part in any Dance Progressions special event or performance on or off site. These photos or videotapes may be used for promotional purposes.

Signed

By signing this form, I certify that I am the custodial parent or guardian for my student (or self if over 18) and I have given authorization for participation in the specified activities listed. *

Type full name below.

While Dance Progressions strives to provide a safe and clean environment, I (parent, or self if over 18) acknowledge the inherent risks of group activity during a global pandemic and hold Dance Progressions, LLC harmless. *

Signed

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