EL TANGO COLLECTIVE, INC

Liability Waiver Form

I realize that participation in tango dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur.

By signing this release form, I assume all risks related to the use of any and all spaces used by El Tango Collective, Inc.

I agree to release and hold harmless El Tango Collective, Inc. including its teachers, dancers, and facilities from any cause of action, claims, or demands now and in the future.

I will not hold El Tango Collective, Inc liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes or events.

Furthermore, I agree to obey the class and facility rules and take full responsibility for my behavior in addition to any damage I may cause to the facilities utilized by El Tango Collective, Inc.

In the event that I should observe any unsafe conduct or conditions before, during or after a class or event, I agree to report the unsafe conduct or conditions to members of the El Tango Collective, Inc. Board of Directors.

Name: (Print)__________________________________________________________________________________

Name: (Signature) ____________________________________________________________________________

Date: __________________________________________________________________________________________