Registration Form

In consideration of allowing participation in dancing / aerobics / physical activities in weekly classes located within Room To Move Studio, the undersigned hereby agrees to waive any and all claims or causes of action that the participant has, or may have in the future, due to any personal injury or property damage that might result from participation in any exercise, dance, workout, or other activity, whether under the supervision of any independent instructor or by the participant's own direction.

The undersigned agrees to release Loren Harn, Barre None Ballet and Room To Move Studio from any and all liability for any loss, damage, injury, or expense that the participant may incur, or that the participant's next of kin may incur, as a result of the participant's participation in any activities with Loren Harn, Barre None Ballet and Room To Move Studio, due to any cause whatsoever. By signing this release, the undersigned acknowledges and understands that: (1) He/She is aware of the risks, dangers, and hazards of participating in any activity; (2) He/She is over 18 years of age, and if He/She is not over 19 years of age, the signature of a parent or legal guardian below indicates that the parent or legal guardian has read and understands the language in this document and has signed it voluntarily.

The undersigned further agrees to allow Loren Harn and Barre None Ballet to take and use photographs of classes for promotional use (Names will be withheld).

Waiver and Liability Release