September 1, 2009

Dear Parents and Dancers,

This year all of the members of the Extreme Ballroom Company will be learning a variety of fun, and challenging performance and competition routines. The dances we teach often have difficult choreography, including lifts, drops, and stunts.

As most of you are already aware, Lindy routines in particular, require the dancers to perform lifts, drops and a variety of stunts. Sometimes these can be difficult. We are teaching these movements with great caution and assisting each dancer, while stressing the importance of proper technique to avoid injury as much as possible. However, there is an element of danger involved in practice and performance and an inherent possibility of injury. All dancers participate at their own risk.

Before we will allow the dancers to participate in this, or any other routine taught at Extreme Ballroom any further, they will need to return the bottom half of this form, signed by both you the parent, and your dancer by October 5, 2009, or just mail it in if you would prefer. My address is:

EXTREME BALLROOM

C/O Staci Huston

3972 E. 136 No.

Rigby, Id. 83442

We, _____________________________________, the parents of _________________, are aware that our minor child is dancing with the Extreme Ballroom Company . We are aware of the inherent danger involved in learning the lifts, drops, stunts and choreography in the dances learned throughout the year. We release the Extreme Ballroom Company and any instructors or guest teachers of any responsibility should an injury occur while dancing in a practice, performance, or competition. We understand that all dancers participate at their own risk.

_________________________________ ______________________________

Signature of Parent of Legal Guardian Signature of Minor Child

__________________________

Date