I, , agree to the following for myself or for my child:

Liability Release for

Love 2 Dance Fitness, LLC / Baile con Sazon

I acknowledge that participation by me in any fitness activities with Love 2 Dance Fitness, LLC/Baile con Sazon is expressly conditioned on my agreement to each of the terms of this document. I acknowledge and agree as follows:

    1. Physical exercise, sport, and recreational activities may cause injury. I understand that there is an inherent risk of injury when choosing to participate in any physical exercise, sport, wellness, and/or recreational activities.  My participation is a voluntary activity in all respects and I assume all risks of injury and illness that may result from such participation in any sponsored group activities or individual activities such as walking.
    2. As the participant, I recognize and acknowledge that there are risks of physical injury and I agree to assume the full risk of any injuries (including death), damages, or loss which I may sustain as a result of participating in any and all activities arising out of, connected with, or in any way associated with wellness activities. I acknowledge that participation in these activities is voluntary.
    3. I, on behalf of myself , do hereby fully release and discharge Love 2 Dance Fitness, LLC/Baile con Sazon and their agents, employees and the sponsors, and those whose facilities are being used for this program  (collectively, the “Released Parties”) from any and all liability, claims, and causes of action from injuries or illness (including death), damages or loss which I may have or which may accrue to me on account of participation in fitness activities. This is a complete and irrevocable release and waiver of liability. Specifically, and without limitation, I, on behalf of myself, hereby release the Released Parties from any liability, claim, or cause of action arising out of the Released Parties’ negligence. I, on behalf of myself, covenant not to sue the Released Parties for any alleged liabilities, claims, or causes of action released hereunder.
    4. I further agree to indemnify and hold harmless and defend the Released Parties from any and all claims resulting from injuries or illness (including death), damages, or loss, including, but not limited to attorneys’ fees, sustained by me arising out of, connected with, or in any way associated with my participation in Love 2 Dance Fitness, LLC/Baile con Sazon’s fitness activities.
    5. In the event of any emergency, I authorize the Released Parties to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for my immediate care and agree that I will be responsible for payment of any and all medical services rendered.
    6. I have been advised by Love 2 Dance Fitness, LLC/Baile con Sazon to consult with a physician before I undertake any physical exercise program. I certify that I am in good health and sufficient physical condition to properly participate in fitness activities; that I am knowledgeable about the proper use of any equipment that I will use and the rules of any activities that I will participate in; and that I will carefully read the operating instructions for any fitness equipment prior to use and will operate such equipment in strict accordance with instructions.
    7. Permission is granted Love 2 Dance Fitness, LLC/Baile con Sazon to use photographs of students for publicity purposes.

    I have read and fully understand this Acknowledgement and Release of Liability set forth above, including the permission to secure medical treatment and the release of all claims, including claims for the negligence of the Released Parties. I am 18 years old or older. I understand that my signed waiver will be retained. This document is binding upon me and my heirs, children, wards, personal representatives and anyone else entitled to act on my behalf.

    IMPORTANT: If the Student is less than 18 years of age, all parents or guardians must also sign this Release and Waiver of Liability.  If only one parent or guardian executes this Release on behalf of a Student who is under 18 years of age, then the undersigned parent or guardian of the Student hereby covenants, warrants, represents and agrees that he or she is executing this Release on behalf of, and as an agent for, any other individual who may be a parent or guardian of the Student, and that by executing this Release, the undersigned is binding himself/herself, the Student, and any other parent or guardian of the Student, and all of their heirs, executors, personal representatives, assigns and estates to this Release.

Who is this waiver for? 


Signature:


Signed and agreed on this .
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