Girl Scout Consent Form

Participation Consent Form

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Liabilty Release Waiver *

In consideration of receiving dance instruction including special classes in tumbling, hip hop, lyrical, etc....and other good and valuable consideration, hereby release and forever discharge the said Betty Johnson School of Dance, Inc. DBA Bender Performing Arts (Betty Johnson Neal, Kevin and Meri Bender and all other instructors) their assistants, agents, servants and/or employees and their families, of any and all claims for damage or damages of any kind, nature or description; more particularly which may grow out of receiving dance instruction or participation in dance classes or other physical exercise or movement. You must further release Betty Johnson School of Dance, Inc. DBA Bender Performing Arts (Betty Johnson Neal, Kevin and Meri Bender and all instructors) from any and all demands, claims, causes of action, suits or liabilities whatsoever, of every name and nature, both in law or in equity; more especially on account of participation in classes taken at Betty Johnson School of Dance, Inc. DBA Bender Performing Arts.

By Checking this Box you agree to the above Liability Release Waiver

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