Activity Waiver & Release

Please fill out the form below, or if you prefer, you can print it out and bring it with you.

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While dancing is a fun and enjoyable recreational activity, I understand that there are inherent risks in dancing, stretching and related physical activity, including the risk of physical injury. I further understand that these risks may result from my child’s participation with Miss Maria’s School of Dance (“MMSD”), and I voluntarily assume the risks associated with such participation.

I am fully aware of these risks, and in consideration of my child’s participation in MMSD activities (“Activities”), I, on behalf of myself, my heirs, assigns, executor, administrator and representatives, hereby release and hold harmless MMSD and its employees, instructors and agents, from any and all liability, loss, damage, costs, claims and/or causes of action arising out of or relating to my child’s participation in the Activities.

I certify that (i) I am the parent or legal guardian of the child named below, (ii) there are no health-related reasons or problems which preclude my child’s participation in the Activities, and (iii) I have not been advised by a qualified medical professional that my child should not participate in the Activities.

This agreement is governed by the laws of Massachusetts and shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. If any provision of this agreement is found to be unenforceable, the remaining terms shall be enforceable.

Please list any medical conditions, behavior issues and/or concerns that may affect your child’s participation in the Activities and that will help us better understand how to make the dance class experience an enjoyable one for your child:
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Any Questions?

If you have questions please email or call: | 617-744-6095

Miss Maria’s
School of Dance

550 Arsenal Street
Watertown, MA 02472
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