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I and/or my minor child (“I” or “participant”) desires to participate in dance or other exercise activities (the “Enrolled Activities”) provided or sponsored by Emily Finch, LLC doing business as Dance 101 (“Dance 101”).

I understand that the Enrolled Activities require physical exertion, and that physical injury may result from participating in the Enrolled Activities. Further, I am aware and understand that the Enrolled Activities involve the risk of personal or psychological injury, pain, and suffering, temporary or permanent disability, death, property damage, and/or financial loss (collectively, “Injuries”). I acknowledge that any Injuries I sustain may result from or be made worse by the actions, omissions, or negligence of Dance 101. I understand that Dance 101 cannot guarantee that I will not sustain Injuries during participation in the Enrolled Activities and that participating in the Enrolled Activities may increase participant’s risk of injury. DESPITE THIS RISK, I AM VOLUNTARILY PARTICIPATING IN THE ENROLLED ACTIVITIES, AND I VOLUNTARILY ELECT TO ASSUME ALL RISK INVOLVED. Enrolled Activities includes, without limitation, classes, recitals, competitions, and any open house or other event held, sponsored, hosted, or participated in by Dance 101.

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I hereby certify that participant is in proper physical and mental condition to participate in the Enrolled Activities. I agree to notify Dance 101 immediately and in writing if there is any physical or mental condition that significantly impairs my ability to participate in the Enrolled Activities. I will work with Dance 101 to request a reasonable accommodation for any such issues. I give Dance 101, its owners, administrators and teachers permission to seek emergency medical treatment for participant, and I request that participant be transported to the nearest hospital if necessary. I understand that I am solely responsible for all costs related to such medical treatment and any related medical transportation. I understand that Dance 101 cannot dispense any form of medication. I release, forever discharge, and hold harmless Dance 101 and all other Releasees from any claim based on such medical treatment or other medical services.

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I understand that in the instruction of dance, the instructor may need to physically manipulate the participant when assisting the participant in the proper alignment and execution of the movements. I hereby authorize the instructors to physically manipulate the participant to assist in the proper alignment and execution of the movements.

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I understand that from time to time, Dance 101 participants will be photographed and/or videotaped while participating in any Dance 101 Enrolled Activities. I further understand that these photos and videos may be used for appropriate promotional purposes for Dance 101. These videos and/or photos may also be made available for purchase from Dance 101. This specifically includes, without limitation, any photos or videos of the Annual Recital and any group photos. I hereby authorize Dance 101 and any Dance 101 hired photographers and videographers to take photographs of and videotape me and/or participant at recitals and other similar types of performances, including practices for such performances. I hereby waive any right to inspect or approve any image, and I hereby grant Dance 101 the unconditional right to use and copyright such photographs and videos and to sell such videos or photos. Participants’ last names will not be used on the Dance 101 website or in Dance 101 print advertising.

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For your convenience, Dance 101 will periodically send account statements, newsletters or other announcements regarding specials, new products and services or changes to the Dance 101 privacy policy via email. You hereby agree to receive such emails and understand that you can opt-out (unsubscribe) at any time. Unless required by law, NONE of your personal information will ever be shared with a third party.

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I HAVE CAREFULLY READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS AND HEREBY FREELY AND VOLUNTARILY AGREE TO ALL OF THE TERMS WITHIN THIS AGREEMENT, INCLUDING THE UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I, the undersigned, am at least 18 years of age and I am the participant, participant's parent, or participant's legal guardian. I have the legal right to consent to and, by signing, I hereby do consent to the terms and conditions of this Agreement. I understand that by checking each of the boxes above, I am electronically signing with the intent to document my agreement to each of the above terms.