Release and Waiver of Liability

Please read the Waiver and then complete this form before taking your first class.

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Emergency Contact Name

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Release and Waiver of Liability

I have read the above Release and Waiver of Liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. By agreeing to this statement and submitting this form online, I agree that this is a legal substitute for my signature.

YES

I am participating in Fitness Classes or Workshops offered by Move N Groove Fit, LLC with Cindy Montagna and the Lionville School of Dance, during which I will receive information and instruction about fitness. I recognize that dance, group exercise/training require physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Fitness Classes or Workshops. I represent and warrant that I am physically fit and I have no medical condition(s) that would prevent my full participation in the Fitness Classes or Workshops.
In consideration of being permitted to participate in the Fitness Classes or Workshops you agree to assume full responsibility for any risks, injuries or damages, known or unknown, which might incur as a result of participating in the program.
In further consideration of being permitted to participate in the Fitness Classes or Workshops, I knowingly, voluntarily and expressly waive any claim I may have against Move N Groove Fit, LLC with Cindy Montagna and the Lionville School of Dance for injury or damages that I may sustain as a result of participating in the program.
I, my heirs or legal representation forever release, waive, discharge and covenant not to sue Move N Groove Fit, LLC with Cindy Montagna and the Lionville School of Dance for any injury or death caused by their negligence or other acts.
I agree to grant permission to use any photographs or videos of me or my children in events with my specific consent and knowledge of use.

By consciously volunteering to attend this communal workout, you are acknowledging the risks involved. By participating in the workout, I understand that I am putting myself at possible risk of being exposed to illnesses and viruses, including, but not limited to COVID 19.

Move N Groove Fit, LLC, Cindy Montagna, Certified Instructor

Release and Waiver of Liability

Move N Groove Fit, LLC. 610.996.3835