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MEMBERS WAIVER AND RELEASE

Assumption of Risk, and Exemption from Indemnity is effective September 19, 2015,
Magic Steppers, a corporation organized and existing under the laws of the Tampa Florida, with its head
office located at: 501 S. Falkenburgh Rd SteE-10.
I, _______________________________ (Parent/Guardian), have chosen to have my son/daughter,
_______________________________ (Member) participate in all dance activities and instructions. I
understand and accept that involvement in any dance performance requires physical activity, and risk of
injury. I understand Magic Steppers organization is not liable for any injury (or loss of personal property).
TERMS
I understand the nature of the activities that my son/daughter will be physically engaged in, or that my
daughter/son is in good physical shape, and capable of taking part in Magic Steppers extra-curricular
activities; I hereby relinquish all rights and accept and assume the risk of injury as well as other losses
associated with participation in any competitive dance performances.
I understand and accept the liability of my son, daughter, and myself, to release, hold harmless, and
release Magic Steppers organization, any of its associated or affiliated companies, their directors, officers,
agents, employees, customers, and Magic Steppers appointed advertising agencies, officers, directors,
agents and employees, from all claims of any kind on account or causes of legal proceedings from all
assumptions of risk, and all exonerations from indemnity damages.
I acknowledge and accept that it is my accountability to finance my own accident and health insurance
coverage that provides adequate coverage for myself, my daughter and son taking part in Magic Steppers
dance activities; and that Magic Steppers does not provide accident or health Insurance for those taking
part in its training, dance activities or performances.
I understand its my obligations to notify Magic Steppers organization in writing of any physical or mental
conditions that our staff should be informed of in working with your daughter/son in case of urgent situation.
Magic Steppers accept no liability for you (parents/guardian) negligence to notify Magic Steppers
organization of any such physical or mental background.

I give my consent for Magic Steppers to use or cause to be used still photographs, video, or
motion picture footage, recordings of voice of my daughter, son or myself for advertising,
publicity, commercial or other business purposes. Said photographs and/or recordings may
be used singularly or in conjunction with other photographs and/or recordings.
I give my consent and hereby authorizes the Magic Steppers to edit these recordings at its
discretion, and to incorporate these recordings into movie and sound films or audio and
videotapes, broadcasts (radio and television, including cable and satellite transmissions)
programs, or otherwise, and to use and license others to use it.

Magic Steppers is not liable for members before and after his or her appointed class time, or
when they exit the dance studio. Kindly, advise your daughter/son to wait inside the studio
to be picked up from studio. Magic Steppers will not release any child under the age of 13;
nor will we authorize the child to exit the studio requiring a parents consent, or adult
supervision. Please note-that all dance classes dismisses 10minutes before the hour to go
home.
This waiver and release contract shall be bound to and governed by the statutes of the state
of Florida. Jurisdiction for all events emerging out of this contract or in other respects among
the parties hereto shall be solely in Hillsborough County, Florida.
By signing below, I__________________________________.(Parent/Guardian)
confirmed my intentions to execute and legally bound, do hereby waive, release, and
permanently release all legalities, and claims against Magic Steppers Organization; and
/or agree to all the terms in any involved e.g. staff for indemnity or injury.
IN WITNESS WHEREOF, the parent has executed this Release on the day and year
first above written.
Signed, to both parties in the presence of:
Magic Steppers (Angela Howard)

Assistant Director (Jameelah Green)

Authorized Signature

Authorized Signature

Print Name and Title

Print Name and Title

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