Liability Waiver Form

I/we realize that participation in dance classes and activities could involve some possible personal injury.  Despite precautions, accidents and injuries may occur.  By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by 1st Russian Ballet School.

I/we agree to release and hold harmless 1st Russian Ballet School, including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future.  I/we will not hold 1st Russian Ballet School, liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes.  Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by 1st Russian Ballet School.

I understand that 1st Russian Ballet School, are licensed, accredited and insured organizations.  In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Artistic Director, instructor or staff member as soon as possible.

General Information

Name of student:
Age:
Date of birth:
Name of parent or guardian:
Parent/Guardian EMail:
Parent work:
Home phone:
Cell:
Person to contact in an emergency:
Adress:
Zip Code
City / State:
Current grade in school
Previous training/school:
Years of of training:
Input this code: