Kat Gurley and Wild Heart Dance
115 Main Street
Broomfield CO 80020


I/we realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Kat Gurley and Wild Heart Dance.

I/we agree to release and hold harmless Kat Gurley and Wild Heart Dance including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Kat Gurley and Wild Heart Dance liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my behavior in addition to any damage I/we may cause to the facilities utilized by Kat Gurley and Wild Heart Dance.

In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Executive Director, Artistic Director, instructor or staff member as soon as possible