Liability waiver.

I understand that I am responsible for my own / my child’s behaviour and conduct in and around The Studio. I realise that participation in classes involves physical activity. I agree to conduct myself safely and with the safety of others in mind. Despite best precautions, accidents and injuries may occur. By signing this release form, I (the student and /or parent/guardian) assume all risks related to the use of any and all spaces used by The Studio Kiama.

I agree to obey the class and facility rules and Code of Conduct and take full responsibility for my behavior in addition to any damage I may cause to the facilities utilised by The Studio Kiama. I agree to release and hold harmless The Studio Kiama including its teachers, dancers, staff members and facilities used by The Studio Kiama from any cause of action, claims, or demands now and in the future. I will not hold The Studio Kiama liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes.

I understand that The Studio Kiama is insured. In the event that I observe any unsafe conduct or conditions in or around The Studio, agree to report the unsafe conduct or conditions to the Studio Director, or available staff member as soon as possible.

I understand that photographs and videos taken at The Studio may used for publicity and advertising in the studio, on The Studio Kiama website, and in the community.

Photography / video

I give permission for my / my child’s photographs/videos to be used for publicity and advertising in the studio, on The Studio Kiama website, and in the community

Yes

Member Name

First Name

Last Name

Parent / Guardian Name (if member is under 18)

First Name

Last Name

Member Date of Birth

YYYY

Age Verification

I certify that I (the signatory) am 18 years or older

Electronic Signature Consent

By checking here, you are consenting to use of your electronic initials in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead which we can have ready for you at your next studio visit. After consent, you may request a digital or paper copy of this waiver for you records. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent.

Add your initials here