Dance Fitness Class Waiver & Liability Agreement

Dance Fitness Class Waiver & Liability Agreement

Please read and complete this form before participating in the dance fitness class.
Participant's Full Name*

First NameLast Name
Class Date and Time: Every Tuesday from 6:30 to 7:15 pm
Participant's Email Address*
example@example.com
Participant's Phone Number*
Please enter a valid phone number.
Participant's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
I acknowledge that dance fitness involves physical activity that may carry risks of injury, and I voluntarily assume these risks.*

I agree
I understand that the instructor and venue are not liable for any injuries or damages incurred during the class.*

I agree
I have read, understood, and agree to the terms of this waiver and release.*

I agree
Signature to confirm understanding and acceptance of the terms.*

My Products

ZUMBA DANCE FITNESSZumba is a dance-based fitness program that combines Latin and international music with fun, energetic movements.

$5.00 Quantity

Total

$0.00