Swing Dance And Dance Workshop Waiver Form

I hereby release and hold harmless Ben Yau, Sheri Kang, One2Swing, Third Saturday Swing, Fred Astaire Dance Studios, its directors, employees, agents, successors and assigns (from here on referred to as "Swing Dance And Dance Workshop Organizers") from any and all claims, causes of action, suits or liability, costs and expenses (including, without limitation, reasonable attorneys' fees) arising out of, or in connection with, any loss, personal injury, death, or other damage that I may incur or suffer by reason or as a result of my enrollment or participation in any workshop by the "Swing Dance And Dance Workshop Organizers". I understand that the "Swing Dance And Dance Workshop Organizers" may record my participation in this event and competition on video or by photograph. I grant the "Swing Dance And Dance Workshop Organizers" unlimited use of any such recordings with no obligation to me. Such recordings are the sole property of the "Swing Dance And Dance Workshop Organizers".

Name:





Event Name:

Third Saturday Workshop/Swing



Event Date:





Address:















Email:




Signature:




Date: