I hereby state that I am an employee/student at a Fred Astaire Franchised Dance Studios - West Palm Beach, and as such participate in the teaching or taking of dance instruction and/or other dance studio activities such as parties, travel, dance competitions and dance vacation type trips. I fully understand and acknowledge that there are risks and dangers associated with participation in dance events and activities which could result in bodily injury. These risks and dangers, including communicable diseases, may be caused by my action, inaction or negligence, or the action, inaction or negligence of others. There may be other risks that are not known or that are not reasonably foreseeable at this time. I accept and assume all such risks and responsibility for any losses and/or damages following any injury, however caused and whether caused in whole or in part by the negligence of the Releasees named below. I acknowledge that Azarov Ballroom Inc. d/b/a Fred Astaire Dance Studios - West Palm Beach (herein after referred to as the STUDIO) will not render any medical services including medical diagnosis of any physical condition. I affirm that I am in good health and suffer no physical impairment that could limit my use of the facilities of the STUDIO. I HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Azarov Ballroom Inc. d/b/a Fred Astaire Dance Studios - West Palm Beach, as well as it's owners, and any of the instructors at the STUDIO on behalf of myself or any person claiming on my behalf . I specifically agree that the STUDIO, its officers, members, employees, agents and legal representatives, whether acting in their business or individual capacities, and their successors and assigns (each a "Releasee" and collectively the "Releasees") shall not be liable for any claim, demand, or cause of action of any kind whatsoever for, or on account of death, personal injury, property damage or loss of any kind resulting from or related to my use of the STUDIO'S facilities or my participation in any dancing, or exercise or activity within or without the STUDIO'S premises, whether it be in another city, state or country, and for whatever period said activities may continue, and I agree to hold the Releasees harmless for same. |