Pre-Registration/Liability Waiver

Pre-Registration & Liability Form

* Indicates required field

Name (Pre-Registration is required prior to first class) *

First

Last

Email *

Which Class do you want to take? *

Level 1 Beginner Level 2 Beginner Level 3 Intermediate/Advanced Open Level

What are your preferred pronouns? *

What times during the week work best for you if a new class becomes available? Maela takes responses into consideration for new class time offerings. *

How did you find out about Maela's Classes? *

What part of Columbus or surrounding Areas would work best for class location? Maela takes responses into consideration for new offerings. *

Phone Number *

Birthdate *

Please indicate that you have read and agree to the below statement. *

I declare that information I've provided is accurate and complete.

Please indicate that you have read and agree to the below statement. *

I hereby waive, release and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in dance, fitness, workshops or any other Maela Belly Dance sponsored activities. This release is intended to discharge in advance the above business (its officers, employees, and agents) from any liability arising out of or connected in any way with my participation in said activities. It is understood that these activities involve an element of risk and danger of accidents and knowing these risks, I hereby assume those risks. It is further agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability, damage, cost, or expense which they may incur as the result of my death, or any injury or property damage that I may sustain while participating in said activities.

Please Select *

I agree to receiving emails for class communication, class reminders, upcoming events and promotional information

Please type full name that you agree to all of the above. *

Today's Date *

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​Pre-Registration & Liability Form

Pre-Registration & Liability Form