Dance Recital Participation Liability Form

Participant Name Parent/Guardian Name (if under 18) Contact Email Emergency Contact Name Emergency Contact Phone

Medical Information

List any relevant medical conditions or allergies

Release and Liability Waiver

I acknowledge and understand that participation in the dance recital involves certain risks, including, but not limited to, physical injury. I voluntarily assume all risks and responsibilities associated with participation. I release and discharge the dance studio and its staff from any and all liability arising from participation in the recital.

I have read and agree to the above release and liability waiver.