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Show‑Me Acro LLC – Party Release Form
Participant Name / Names
Parent/Guardian E‑Mail
Parent/Guardian Phone
Disclaimer
I, the undersigned parent/ guardian of the above listed minors (applicant/participant) acknowledge and fully understand that the applicant/participant will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from the actions, inactions or negligence, of the applicant/participant, built also the action, inaction or negligence of others, the rules of play or the condition of the premises or of any equipment used, and further that there may be other unknown risks not reasonably foreseeable at this time. Having full knowledge of the above, the applicant/participant assumes all the foregoing risk and accepts personal responsibility for the damages following such injury, permanent disability or death, and hereby releases, discharges and covenants to indemnify and not to sue Show-Me Acro LLC, as owners and/or Show-Me Dance and Fitness Center Browning LLC as lessors of premises used to conduct classes or events, or its representatives whether paid or volunteer.
I acknowledge I have read and agree to the Waiver of Liability.
Date
Signature (finger/stylus)
Clear Signature
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