In consideration of the undersigned entering into an agreement with STREEXB, for the purpose of taking dance classes at 1355, Kingsway St., Vancouver BC, I the signee release STREEXB, administrators, beneficiaries, successors, employees and assign teacher from any and all liabilities that may be cause from taking the dance classes.
1. I acknowledge and accept the inherent risk associated with dance activities and the possibility of personal injury.
My name is or child name is __________________________________and I (parent) am signing as a student of STREEXB and I (child) is _____________ years old. On behalf of me, my parents, or my guardian_______________________________, we have read and understand the terms and conditions of the agreement and agree that it is binding upon us.
IN WITNESS WHEREOF, THE UNDERSGINED DULY EXECUTES THIS AGREEMENT dated this_______day of __________, 2017
Student, Parent, Guardian:_____________________________________ Student:___________________________________ Date: ______________