DECLARATIONS: This Agreement is entered into between artistic director, Lindsay Jackson
and the undersigned (student). The provision of dance lessons by The Dance Connection to the
Student, and the Student’s use of any premises, facilities or equipment are contingent upon this
Agreement. ASSUMPTION OF RISK: You agree that if you engage in any physical exercise or
activity, including dance training, or enter The Dance Connection or use
any facility or equipment on our premises for any purpose, you do so at your own risk and
assume the risk of any and all injury and/or damage you may suffer, whether while engaging in
physical exercise or not. This includes injury or damage sustained while/or resulting from using
any premises or facility, or using any equipment, whether provided to you or by Lindsay Jackson, staff, or otherwise, including injuries or damages arising out of the negligence of the
Instructor, whether active or passive, or any of the Instructors, affiliates, employees, agents,
representatives, successors, and assigns. Your assumption of risk includes, but is not limited to,
your use of any exercise equipment (mechanical or otherwise), dressing areas, restrooms,
sidewalks, parking lots, lobby or other general areas at The Dance Connection. You assume the risk of your participation in any activity, class, program, instruction, or event, including but not limited to walking, jogging, running, aerobic activities, or dancing activities including spins, turning or jumping. You agree that you are voluntarily participating in the aforementioned activities and assume all risk of injury, illness, damage, or
loss to you or your property that might result, including, without limitation, any loss or theft of
any personal property, whether arising out of the negligence of the Instructor or otherwise.
RELEASE: You agree on behalf of yourself (and all your personal representatives, heirs,
executors, administrators, agents and assigns) to release and discharge Lindsay Jackson and The Dance Connection, the Instructor’s affiliates, related entities, employees, agents, representatives, successors and assigns from any and all claims or causes of action (known or unknown) arising out of the negligence of the Instructor, whether active or passive, or any of the Instructor’s affiliates, employees, agents, representatives, successors, and assigns. This waiver and release of liability includes, without limitation, injuries which may
occur as a result of (a) your use of any exercise equipment or facilities which may malfunction or
break, (b) improper maintenance of any exercise equipment, premises or facilities (c) negligent
instruction or supervision, including dance instruction or personal training, (d) negligent hiring
or retention of employees, and/or slipping or tripping and falling while on any portion of the
The Dance Connection or while traveling to or from dance instruction, including injuries resulting from Instructor’s or anyone else’s negligent inspection or maintenance of the facility or premises.

I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury and, in rare circumstances, death. I agree to release and hold harmless The Dance Connection, including its teachers, dancers, staff members, and facilities from any cause of action, claims, or demands now and in the future. I will not hold The Dance Connection liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I understand that I should be aware of my, and/or my child’s physical limitations and agree not to exceed them. If I am signing this waiver for my child, I certify that I am the parent or legal guardian and have the right to waive these rights. Further, I authorize and agree that The Dance Connection may take and use photographs/videos of me and/or my child for purposes of record keeping, advertising, and marketing. I understand that I do not have any rights to these photographs/videos and will not be compensated for the same.

I understand that monthly tuition is never pro-rated but determined from an average of entire classes from Sept-June (36 weeks of classes). 2020-21 Recital costume costs will be billed separately in Nov/Dec. I realize fees and/or tuition is NOT refundable, and that it must be paid by the 8th of a month to avoid a $15 late fee (NO EXCEPTIONS). Tuition and/or registration fees cannot be refunded.

I understand a $25 fee is assessed for any and all returned checks.