Please use the form below to register yourself for our aerial workshops.

 

Name *
Name
Address *
Address
Registering for: *
(Please check each class you wish to register for.)
If you wish to pay by credit card, please check here: (Credit card transactions are charged a 3.7% convenience fee)
WAIVER AND RELEASE OF LIABILITY
DISCLAIMER: IPSWICH DANCE FOUNDATION, INC. IS NOT RESPONSIBLE FOR ANY INJURY (OR LOSS OF PROPERTY) TO ANY PERSON WHILE PRACTICING, TAKING CLASS, PARTICIPATING IN, OR IN ANY OTHER WAY INVOLVED IN AERIAL DANCE INSTRUCTION OR PERFORMANCES AT IPSWICH DANCE FOUNDATION, INC. FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF IPSWICH DANCE FOUNDATION, INC. ITS OWNERS, OFFICERS, AGENTS, OR EMPLOYEES. In consideration of my participation, I hereby release and covenant not-to-sue Ipswich Dance Foundation, Inc. the Ipswich Dance Foundation Board of Directors and officers, and any of their employees, teachers, or agents, from any and all present and future claims resulting from ordinary negligence on the part of Ipswich Dance Foundation, Inc., or others listed for property damage, personal injury, or wrongful death, arising as a result of my engaging in or receiving instruction in Aerial Dance or any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family, estate, heirs, or assigns. Further, I am aware that Aerial Dance is a vigorous activity involving height and rotation in a unique environment and as such they pose a risk of injury. I understand that such activities always involve certain risks, including but not limited to, death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, and serious injury to virtually all bones, joints, muscles, and internal organs, and the mats and other safety equipment and apparatus provided for my protection including the active participation of a teacher who will spot or assist in the performance of certain skills, may be inadequate to prevent serious injury. The risk of harm may be limited by all of the safety equipment and trained coaches, but never eliminated. I understand that participation in Aerial Dance conditioning, stretching and other activities that may leave me vulnerable to the reckless actions of their participants who may not have complete control over their actions or who may not see other students in the area. I am voluntarily participating in this activity with knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. I am currently in good health. I am not aware of any risk factors in my medial history that would make me particularly subject to injury in the proposed activities. I further agree to indemnify and hold harmless Ipswich Dance Foundation, Inc. and all others listed for any and all claims arising as a result of my engaging in or receiving instruction in Aerial Dance activities or any activities incidental thereto, whenever, wherever, or however the same may occur. I understand that this waiver in intended to be as broad and as inclusive as permitted by the laws of the Commonwealth of Massachusetts and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in Massachusetts. I affirm that I am of legal age and am freely signing this agreement. I have read this form and fully understand that by signing this form, I am giving up legal rights and or remedies which may be available to me for the ordinary negligence of the Ipswich Dance Foundation, Inc. or any person listed above.
Date of Signature *
Date of Signature