While training at Dance Brave with Tiffany Chambers-Goldberg:

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I understand that physical exercise can be strenuous and subject to risk of serious injury. You are urged to obtain a physical examination from a doctor before participating in any exercise activity.

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I recognize that such physical activity and exertion may be difficult and strenuous and may cause or aggravate a physical injury or medical condition.

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I agree that I engage in any physical exercise or activity, I do so entirely at my own risks.

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This waiver and release of liability includes, without limitation, all injuries which may occur as a result of:

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(a) Your participation in any activity or training session and

(b) Instruction, training, supervision by your instructor while at Dance Brave.

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You acknowledge that you have carefully read this "waiver and release" and fully understand that it is a release of liability. You expressly agree to release and discharge the Instructor at Dance Brave; fitness from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against your Fitness/Dance/Pole Instructor for personal injury or property damage.

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To the extent that statute or case law does not prohibit release for negligence, this release is also for negligence on the part of the Dance/Pole Instructor. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to the invalid, then the remained of this release from liability shall remain in full force and effect and the offending provision or provisions severed herefrom.

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By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.

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