Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.NameEmail *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 Nieves Latin Dance Studio. I/we agree to release and hold Nieves Latin Dance Studio, 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 Nieves Latin Dance LLC 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/our behavior in addition to any damage I/we may cause to the facilities utilized by Nieves Latin Dance LLC. I understand that Nieves Latin Dance LLC is a licensed and insured business. 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 Owner, Director, Instructor or Staff member as soon as possible. **The use of coupons or vouchers, can only be used once per lifetime. You cannot purchase discounted Coupons multiple times Submit