In consideration of PSB & Interplay Dance accepting this application, I, for myself, my heirs, executors, administrators and assigns, release PSB & Interplay, its respective servants, agents and employees from any claims, demands, damages, actions or causes of actions whatsoever arising out of or in consequence of the above-noted Student participating in a dancing lesson/course or any other activity related to PSB & Interplay, including but not limited to claims, demands, actions or causes of actions related to loss of or damage which may have arisen by reason of negligence of PSB & Interplay, its servants, agents or employees. Without limiting the generality of the foregoing, I further release any
recourses which I may now or hereafter have resulting from any decisions or activities of PSB & Interplay. For the aforesaid consideration I agree to indemnify PSB & Interplay, its servants, agents or employees from any claims or demands which might be made against the Interplay, arising out of or in consequence of the attendance or participation by the Student in a dance lesson/course or any other activity of PSB & Interplay. If this Release and Waiver is signed by any person other than the Student, the Student is under the age of eighteen (18) years, and I have full legal right and authority to sign this waiver on behalf of the Student.