Get Started – Auburn Dance Academy

Trial Class

Release Form

fill out the form below to start your first week on us!

1Studio Location

2Parent/Guardian Info

3Students Info

4Release Form

Studio Location*
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Parent/Guardian Info
Please enter parent/guardian information below. You can add multiple people by click the + button.
Full Name Email Phone
Address
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Insurance Release, Minor Consent, Assumption of Risk Statement (Auburn Location)

I am aware that during dance lessons and or other related activities, my child is participating in, under the arrangement for Auburn Dance Academy, LLC., dba Auburn Dance Academy, certain dangers may occur, including but not limited to, illness related to viruses such as COVID-19, flu and cold like symptoms and 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, I am of lawful age and legally competent to sign this release, I understood the terms herein 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.
Insurance Release, Minor Consent, Assumption of Risk Statement (Bonney Lake Location)

I am aware that during dance lessons and or other related activities, my child is participating in, under the arrangement for Auburn Dance Academy II, LLC., dba Auburn Dance Academy, certain dangers may occur, including but not limited to, illness related to viruses such as COVID-19, flu and cold like symptoms and 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, I am of lawful age and legally competent to sign this release, I understood the terms herein 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.
Insurance Release, Minor Consent, Assumption of Risk Statement (Puyallup Location)

I am aware that during dance lessons and or other related activities, my child is participating in, under the arrangement for Auburn Dance Academy III, LLC., dba Auburn Dance Academy, certain dangers may occur, including but not limited to, illness related to viruses such as COVID-19, flu and cold like symptoms and 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, I am of lawful age and legally competent to sign this release, I understood the terms herein 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.
Consent*
I agree to the following statement
Release Signature*

Full Name	Email	Phone

Trial Class

Release Form

Insurance Release, Minor Consent, Assumption of Risk Statement (Auburn Location)

Insurance Release, Minor Consent, Assumption of Risk Statement (Bonney Lake Location)

Insurance Release, Minor Consent, Assumption of Risk Statement (Puyallup Location)