Impact Bring a Friend to Dance Week Waiver
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Dancer's First Name *
Dancer's Last Name *
Dancer's Age *
Parent/Guardian First and Last Name *
Parent/Guardian Email *
Waiver
Participation in any Impact Performing Arts activity on or off site, and use of recreational facilities involves risk of accidental injury despite all safety precautions. Having been informed of the activities conducted by Impact Performing Arts, I/we, as individual or as a parent or guardian of the participants named herein, assume all risks and hazards incidental to the activities, and release from responsibility and agree to indemnify and hold harmless Impact Performing Arts, its officers, directors, independent contractors, volunteers and all employees for any illness or injury to me or my child or family members accruing during his/her/our participation in any activity or use of any recreational facility at or conducted by Impact Performing Arts. I also agree to the use of my child’s photo/video for Impact Promotional purposes.

Printing name below will serve as your signature.
I agree to the waiver above. Parent/Guardian (Print Name) *
Questions
Please call or email with any questions or concerns. (240)-340-1635 or impactdwx@gmail.com 
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