Acrobatic Arts & Aerial Hoop Classes
Dancin' Motion Studio Liability Waiver
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Child's Full Name *
Child's DOB *
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Emergency Contact Number 1 *
Emergency Contact Number 2 *
Any Medical Conditions *

I hereby agree to the following:

1. My child/I recognise that aerial hoop and all other aerial classes requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation and I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.

2. My child/I understand that I will receive physical assists or adjustments to enhance or correct my body posture during class by either the teacher or an assistant in class. I will take accountability for alerting the teacher and assistant of any injury or impairment in advance before class begins. 

3. My child/I consent to the collection and use of my personal images by photography or video recording. I acknowledge these may be used on the Dancin; Motion website and other social media such as Twitter, Instagram and Facebook, in newsletters and publications.

4. My child/I knowingly, voluntarily, and expressly waive any claim I may have against Dancin’ Motion and staff for injury or damages that I may sustain as a result of participating in the class.

5. My child/I, my heirs or legal representatives forever release waive, discharge and covenant not to sue for any injury or accident caused by their negligence or other acts.

6. My child/I understand that an area for personal belongings is available during class, however, I agree that Dancin’ Motion is in no way responsible for the loss or damage of any of my belongings while I attend class.

7. My child/I agree to abide by the rules and regulations of Dancin’ Motion as well as the venues and acknowledge that these rules and regulations may change from time to time. 

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.

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