I, the below signatory, for myself or on behalf of my daughter/ward, hereby
• Acknowledge that I am physically and mentally capable of participating in the activities associated with belly dancing and understand that if I have any relevant medical conditions, I must secure the approval of my doctor;
• Acknowledge that by attending/preparing for/participating in belly dance activities there is a possibility of physical illness and/or serious/fatal injury and/or property loss or damage;
• Do waive, release, and forever discharge any and all rights and claims of any nature which may arise now or in the future against Ancient Art Studios, its owners, agents, teachers or representatives, other students and their representatives (collectively, "Releasees") which might arise during my tenure as a student or employee of the Releasees, including but not limited to injuries sustained during class, performances, or any activity (collectively, "activities") associated with said persons and/or entities.
• Acknowledge that the Releasees are not responsible or liable for anything lost, stolen or damaged while taking part in activities.
• Acknowledge that I hereby grant permission to the Releasees to photograph me for use in brochures, web sites, posters,
advertisements and other promotional materials that the school creates. Permission is also hereby granted for the school to
copyright such photographs in its name.