I hereby release, indemnify and hold harmless Austin Inspired Movement (“Company”), its owners, advisers, employees, agents of these parties, independent contractors and volunteers from all liabilities, suits, claims and/or demands of any kind or nature, legal or financial, whether caused in any way by the negligence or not, arising from the participation in or observation of any Company activity for injuries to any person or property, whether on or off the premises. The Students named below does voluntarily participate in any and all Company activities and that the student and I understand that certain risks are inherent to and from participation and involvement with Company and its various formal and informal activities. These activities include but are not limited to dance and other physically strenuous exercise and related workouts and performances. I agree to assume full responsibility for the risks, injuries, or damages that might occur as a result of participating in activities sponsored by the Company. I agree to assume full responsibility for damage done to any property inside and outside the studio. The Company is not responsible for any lost or stolen property, at any time. Anyone found to be violating any of the rules, codes of conduct or found to be disruptive to either another individual or group may be asked to leave the premises or off-site location at any time and be refused re-entrance without any full or partial refund.


Medical Release:

As the Student or parent/legal guardian of the Student named below, I request and authorize that in my absence the participant be admitted to any hospital or medical facility for diagnosis and treatment even if I have not been contacted prior to admission. I request and authorize physicians, dentists and staff, duly licenses as Doctors of Medicine/Osteopathy or Doctors of Dentistry or other such licensed technicians or nurses to perform any diagnostic procedures, treatment procedures, operative procedures and x=ray treatment of the Study named below. I have not been given any guarantee as to the results of examination or treatment. I hereby authorize Austin Inspired Movement, its owners, employees, agents of these parties, independent contractors and volunteers to act for the Student named below according to their best judgment in providing or arranging for emergency care in any emergency circumstance requiring medical attention.

Captured Media Release:

I hereby understand and am fully aware that the Student named below may be participating in Austin Inspired Movement activities in which I and/or the Student named below may be photographed or videotaped from time to time. All photographs, videotapes and other recordings of images of Company activities is Company property (“Property”), regardless of place, type, timing, or length of performance or the kind technology relied upon to capture or record the activity. I hereby irrevocably grant to Company perpetually, exclusively, and for all media throughout the world (including print, non-theatrical, home video, DVD, CD-ROM, internet and any other electronic medium presently in existence or invented in the future), the right to use and incorporate (alone or together with other materials), in whole or in part, photographs, sound bites or video footage taken as a result of participation in Company activities. I hereby agree that I will not bring or consent to others bringing claim or action against the Company on the grounds that anything contained in the Property, or in the advertising and publicity used in connection herewith, is defamatory, reflects adversely on me or the Student named below, violates any other right whatsoever, including, without limitation, rights and privacy and publicity. I hereby release the Company, its owners, employees, agents of these parties, independent contractors and volunteers from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I may hereafter have against the Company in connection with the Property. This agreement shall not obligate the Company to use the Property or to use any of the rights granted here under, or to prepare, produce. Exhibit, distribute or exploit the Property. The Company shall have the right to assign its rights here under, without my consent, in whole or in part, to any person, firm, corporation or organization.

BY SIGNING THIS REGISTRATION FORM, I AGREE TO THE TERMS, CONDITIONS & RELEASE LIABILITY OUTLINED ABOVE

All sales are final and no refunds will be given.
Contract: All unlimited contracts agree to be paid on a three time monthly reoccuring payment until a three month billing period has expired.


A cancellation or request to reschedule made less than 24 hours in advance will invoke a cancellation fee. The amount charged will be equal to the full charge of the booked private lesson without refund or return of lesson credit.