Hold Harmless Agreement

The undersigned, in consideration of participation in this program, agrees to indemnify, defend, hold harmless and release Miss Maria’s Dance, Cheer & Gymnastics, Inc., its officers, directors, instructors, employees and/or assigns, from any and all direct or indirect liabilities, injuries and/or death, costs, damages and reasonable attorneys’ fees, which may be suffered by the below named individual registered in this program arising out of or in any way connected with participation in the program including parties and special events.

Class/Event Attending?*
If attending a birthday party, please put the name of the birthday girl/boy.
Date of Event*
MM slash DD slash YYYY
Name of individual participating in class or event*
First Last
Name of additional individuals participating in class or event
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone Number*
Parent or guardian name*
First Last
Date*
MM slash DD slash YYYY

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Hold Harmless Agreement

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