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I am aware that during dance lessons and or other related activities, that i am participating in, under the arrangement for Auburn Dance Academy Inc, dba Auburn Dance Academy, certain dangersmay occur, including but not limited to, physical injury due to or arising from dance lessons or other related activities.

In consideration of and as part payment for, the right to participate in such dance lessons or other related activities as provided for by Auburn Dance Academy, and its operator, agents, instructors, and other unnamed assistants, I have and do hereby assume all the above mentioned risk and will hold all the aforementioned people harmless from any and all liability, action, cause of action, debts, claims, demands of any kind and nature whatsoever which may arise of, or in connections with the dance lessons or related activities provided for by Auburn Dance Academy. The terms thereof shall serve as a release and assumption of risk for my heir, executors and administrators and for all members of my family, including minors accompanying me.

I further state that I am of lawful age and legally competent to sign this release, that I understood the terms here are contractual and not a mere recital, I have signed this document of my own free act.

This release will be effective for the entire period I am, or my children are on the premises of Auburn Dance Academy, or a participant in off-facility location. Parents or guardian MUST sign for all persons under twenty one (21) years old.