Waiver and Release from

Pan America Chinese Dance Alliance Waiver and Release from Liability Form

I, ________________________________ (print participant’s name) have chosen to participate in the event hosted by Pan America Chinese Dance Alliance (PACDA). I acknowledge that I understand the nature of the activities I will be participating in and the possibility that despite precautions, accidents and/or physical injury may occur.

I agree to release and hold harmless PACDA and its teachers, staff members, and contracted vendors from any cause of action, claims, or demands now and in the future. I will not hold PACDA liable for any personal injury or any personal property damage or loss, which may occur on the premises before, during or after the PACDA event.

I authorize and agree that PACDA may take and use photographs, videos or likenesses of myself as needed for its record keeping, advertising, social media and/or public relations projects and that I have no rights to the same and will not be compensated for the same.

My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above.