DIRECT LINK TO FORM
2019-2020 Release & Liability Waiver
Questions marked by * are required.
1. Parent's Name (First, Last): *
2. Email Address: *
3. I hereby authorize Ave Maria Dance Academy, LLC, 5068 Annunciation Circle, Suite 103, Ave Maria, Fl. 34142 and all of its employees, agents, and representatives to instruct my child in dance, tumbling or any related activities both at their location as well as any off premises events that my child attends. (Please initial in box) *
4. I understand that while Ave Maria Dance Academy, LLC, will take reasonable care during periods of instruction, there are numerous injuries, which may occur in the course of instruction; including, but not limited to falling, twisting, breaking, and/or injuring limbs, hips, knees, elbows, neck, head, and related injuries. I hereby release and absolve Ave Maria Dance Academy, LLC, its employees, instructors, substitute instructors, agents, and representatives from all claims and causes of action arising out of their care and instruction. (Please initial in box) *
5. “I have read and understand all of this Release & Liability Waiver and am willing to comply with the policies set forth herein by Ave Maria Dance Academy, LLC, its owners, and employees”. (Please initial in box) *
6. By typing my name in the box below, I agree to assume all risk of harm, damage, liability, injury or loss related to participation in dance classes, tumbling classes and all related activities including off premises events; and I release Ave Maria Dance Academy from same. (Please type your name in the box - this will serve as your signature) *
7. Please click in box to enter today's date *
8. Almost done! When you click submit you will be directed to the 'Need to Know' page which you can print for your records. Welcome to our 2019-2020 season! *
  • Ok