"Springs" in the Spring Showcase and Dance

"SPRINGS" in the Spring, Showcase and Dance

- April 27, 2008 -

RELEASE FORM

This form must be signed in order to participate!

The Undersigned being fully cognizant of the risks inherent in Dancesport and exhibition dancing, shall hereby,

Assume all risks of bodily injury and property damage inherent in attending this event.
Release and hold harmless Social Elegance Inc., Terry and Terry Naber, International Dance Club, the officers, employees and organizers from all liability arising out of bodily injury or damage, loss or theft of articles while attending this event.
Consent to use and release of his/her name and likeness to be used in photographs, films, tape
recordings or video tapes of the event used in connection with future advertising of such event.
If any person has an objection to being video taped or the possibility of being seen on these tapes or in any public use of his or her picture, i.e. future promotion of same event in following years, please notify the organizers of this event in writing thirty days prior to the commencement. Failure to notify will be considered as permission granted.
All persons attending this event, whether as a spectator performer or guest, shall be bound by the
above rules, and by participating in this event shall automatically become obligated to adhere to them. Social Elegance Inc. and participating studios accept no responsibility for any loss or theft of articles left in changing rooms, ballroom, and common areas of the facility or parking lot.

If you are under 18 years of age, a parent or guardian must sign this form for you.

PRINT NAME SIGNATURE DATE

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