San Francisco Dance Fitness

San Francisco Dance Fitness

Registration and Liability Waiver

Name:________________________________________________________

Address:______________________________________________________

City:_____________________________________ZIP:________________

Phone:_____________________Email:____________________________

In consideration of being allowed to participate in any way in the classes, workshops, and programs or to be present in the studios, office or bathroom of San Francisco Youth Ballet Academy and San Francisco Dance Fitness, I (print name) ____________________________, the undersigned, acknowledges, appreciates and agrees that:

Dance and exercise are physical activities and I am in good physical health to participate. I assume all risks of damage and injury that I may incur due to participation; and I fully and completely RELEASE, ACQUIT AND FOREVER DISCHARGE SFYBA and its respective principals, officers, directors, agents, insurers, employees, representatives, successors and assigns from any and all claims, actions and causes of action that I may have in the future of any nature whatsoever. I agree to sole responsibility for any and all costs and expenses that I may suffer of any kind, and I will not sue or assert any such claim against SFYBA.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK
AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

___I authorize SFDF to use photos taken of me in class or at events for publicity and advertising purposes if needed.

X___________________________________________ Date _____________
Participant Signature or Guardian if Under 18
_________________________________________
Print Name

PURCHASE A CLASS CARD TODAY, Start Exercising Tomorrow.....or Right NOW!