Babies (1-5 months) May (4/4)
with Annie McCollum

I do hereby consent to my participation in Baila Beats Academy.

I acknowledge that participation in this dance workshop/ class may expose me to the possibility of injury. I grant Baila Beats Academy and/or dance venue staff the authority to obtain emergency medical treatment as necessary to insure that I am safe from further injury. In consideration of "Baila Beats Academy" allowing me to participate in its dance workshop/ class , I agree to waive and release "Baila Beats Academy®" from all claims for damages that may arise, other than by negligence of "Baila Beats Academy®", its employees and agents, as a result of my participation in its dance workshop/class.

I am aware that I may appear in a photograph, or video, taken by dance workshop/class staff or local media and that photograph or video may appear in a variety of media sources on behalf of "Baila Beats Academy". Please note, that under no circumstances will "Baila Beats Academy ®" divulge your name without express written permission.