Each year we update this form. Please only fill this out once per year. Thank you!
I am voluntarily participating in a dance class/exercise/fitness program or class conducted by instructors at Glow Dance Studio Toledo. I recognize that the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the above mentioned program.*
I represent and warrant that I have no medical condition that would prevent my participation in the program. I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in the program.*
Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, including death.
*
I understand that Flirty & Fit by Cari, LLC, Glow Dance Studio Toledo, Cari Olman, and any owner or associate where she holds classes have no liability for any injury or illness that may result from my participation in this program.*
I knowingly, voluntarily and expressly waive any claim I may have against any instructor or the business for injury or damages that I may sustain as a result of participating in the program. I, my heirs or representatives forever release waive, discharge and covenant not to sue the instructors, owners of Flirty & Fit by Cari LLC, the individual Cari Olman, or the business of Glow Dance Studio Toledo for any injury or death caused by their negligence or other acts.
I have read the above waiver and release of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.