Hamby Ballroom Dance Studios, LLC
Release and Waiver of Liability and Indemnity Agreement

I fully understand and acknowledge that there are risks and dangers associated with participation in dance events and activities which could result in bodily injury. These risks and dangers may be caused by my action, inaction or negligence, or the action, inaction or negligence of others. There may be other risks that are not known or that are not reasonably foreseeable at this time. I accept and assume all such risks and responsibility for any losses and/or damages following any injury, however caused and whether caused in whole or in part by the negligence of the Releasees named below. I acknowledge that Hamby Ballroom Dance Studios, LLC (herein after referred to as the STUDIO) will not render any medical services including medical diagnosis of any physical condition. I affirm that I am in good health and suffer no physical impairment that could limit my use of the facilities of the STUDIO. I HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Hamby Ballroom Dance Studios, LLC, as well as it's owners, and any of the instructors at the STUDIO. I specifically agree that the STUDIO, its officers, members, employees, agents and legal representatives, whether acting in their business or individual capacities, and their successors and assigns (each a "Releasee" and collectively the "Releasees") shall not be liable for any claim, demand, or cause of action of any kind whatsoever for, or on account of death, personal injury, property damage or loss of any kind resulting from or related to my use of the STUDIO'S facilities or my participation in any dancing, or exercise or activity within or without the studio premises, and I agree to hold the Releasees harmless for same.

Please click the 'Back' button in your browser to return to the Dance Class Registration form