Belly & Brews: Belly Dance Workout
July 21 at 10am
Old OX Brewery
44652 Guilford Dr #114, Ashburn, VA 20147
First and Last Name
Email address(for workshop information only)
Terms and Conditions:By checking the box below, you agree to the following liability waiver and release. If you are registering on behalf of another individual, it is up to the individual registering to relay this information to the other individual.I understand that there can be risks involved in dancing. In return for the educational opportunity that this special instruction provides, I agree to act in a safe and appropriate manner at all times and to hold Raquelle (Rachael Jackson) harmless in case of avoidable damage, loss,or injury incurred by or during my participation.Assumption of Risk, Release of Liability for Personal Injury, Medical Authorization: I acknowledge my understanding and acceptance of the following:That belly dance can be an active sport, which requires strength, agility and concentration and that it is solely my responsibility to determine that I am in good health and good physical and mental condition before permitting myself to exercise, work out, receive instruction or perform. Despite precautions,accidents and injuries may occur. I agree to release and hold harmless Raquelle (Rachael Jackson) from any cause of action, claims, or demands now and in the future. I will not hold Raquelle (Rachael Jackson) liable for any personal injury or any personal property damage, which may occur before, during, or after the event.I have read the Release of Liability for Personal Injury and have been given the opportunity to speak with Raquelle (Rachael Jackson) before signing this release.
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