Release of Liability Form

Billing Information:
Email

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Location

Location Temple Terrace Family Recreation Complex Temple Terrace Presbyterian Weekday School (must be an enrolled student)
Dancer Name Dancer Name First Last
Dancer’s Current Age
Parent/Guardian/Responsible Party Parent/Guardian/Responsible Party First Last
Emergency Contact Number Emergency Contact Number - ### - ### ####
Disclosures and Agreements
I understand that I/my child will be videotaped, photographed, and/or may participate in live Zoom virtual calls during dance activities and this media may be used for publicity and advertising in any facility, website, and/or social media used by Elevate Dancers, LLC.

I understand that I/my child will be videotaped, photographed, and/or may participate in live Zoom virtual calls during dance activities and this media may be used for publicity and advertising in any facility, website, and/or social media used by Elevate Dancers, LLC. I understand
Release of Liability:
Despite precautions and best efforts, accidents and injuries may occur. I/we (the dancer and parent/guardian) realize that participation in dance classes and activities could involve some possible personal injury. I/we assume all risks related to the use of any and all spaces used by Elevate Dancers, LLC.

I/we agree to release and hold harmless Elevate Dancers, LLC, the Hillsborough County School Board, all schools, teachers, assistants, affiliates, officers, employees, representatives, partners, agents, owners, dancers, staff members, and facilities used by Elevate Dancers, LLC from any cause of action, claims, or demands now and in the future. I/we will not hold Elevate Dancers, LLC 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 Elevate Dancers, LLC.

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 an Elevate Dancers, LLC staff member as soon as possible.

Release of Liability:
Despite precautions and best efforts, accidents and injuries may occur. I/we (the dancer and parent/guardian) realize that participation in dance classes and activities could involve some possible personal injury. I/we assume all risks related to the use of any and all spaces used by Elevate Dancers, LLC.

I/we agree to release and hold harmless Elevate Dancers, LLC, the Hillsborough County School Board, all schools, teachers, assistants, affiliates, officers, employees, representatives, partners, agents, owners, dancers, staff members, and facilities used by Elevate Dancers, LLC from any cause of action, claims, or demands now and in the future. I/we will not hold Elevate Dancers, LLC 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 Elevate Dancers, LLC.

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 an Elevate Dancers, LLC staff member as soon as possible. I agree
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Release of Liability Form

Release of Liability Form

Billing Information:

Disclosures and Agreements