I have chosen to have my child(ren) participate in dance instruction and/or tumbling instruction given by MoonDance Studios (MDS). 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 MDS is not in any way responsible for making such a determination.

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

I understand that MDS 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 MDS will only be supervising my child when he or she is participating in scheduled dance/tumbling activities, programs or instruction. I understand that MDS is not responsible for personal property that is lost, damaged or stolen while I or my child is at or on MDS property.

I authorize and agree that MDS may take and use photographs, videos or likenesses of myself or my child as needed for its record-keeping, advertising and/or public relations projects and that I have no rights to the same and will not be compensated for the same.

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.

I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND HAVE READ THE SAME PRIOR TO SIGNING.