Dance With Dixon ProSeries
Dance with Dixon
dwdPROSERIES
Season One · 2026–27
Orlando, Florida
Pay Per Class

Drop-In Class Waiver

Signed by the parent or legal guardian · One signature covers the 2026–27 season · v1.1 · 2026-09-14

This waiver is between Dance With Dixon LLC ("DWD"), a Florida single-member limited liability company, and the parent or legal guardian ("Parent") of the dancer identified below. It covers drop-in participation only: individual classes taken on a pay-per-class basis, with no track enrollment and no season commitment.

One acceptance covers every drop-in class the dancer attends through the end of the 2026–27 season (May 25, 2027). You can accept this waiver online (the checkbox on the website checkout or in the family portal counts as your signature) or sign it on paper at the door before the dancer's first class.

Section 01Dancer & Parent Information

Dancer Full Legal Name:
Dancer Date of Birth:
Parent/Guardian Full Name:
Email (this becomes the family portal login):
Phone:
Emergency Contact Name:
Emergency Contact Phone:
Known medical conditions or allergies (write "none" if none):
Parent initials

Section 02Drop-In Terms & Fees

Parent initials

Section 03Assumption of Risk & Release of Liability

I certify that the dancer is in sound physical health to participate in dance class, or I have disclosed any known conditions in Section 1 above.

This release does NOT apply to claims arising from the gross negligence or willful misconduct of any Released Party.

Parent initials

Section 04Emergency Medical Authorization

In a medical emergency, if the Parent and the emergency contact listed above cannot be reached, Dance With Dixon LLC is authorized to seek emergency medical treatment for the dancer at the nearest appropriate facility, and to transport the dancer to that facility by ambulance or other reasonable means. The Parent is financially responsible for any medical, ambulance, or related costs resulting from such treatment. DWD staff will always call 911 in a life-threatening emergency.

Parent initials

Section 05Photo & Video

DWD records class content for teaching and for DWD's website and social media. Select one:

☐ Yes. DWD may include the dancer in class photos and video used on DWD's website, social media, and promotional materials, without compensation. Names are not published for drop-in dancers.

☐ No. DWD will make reasonable efforts to keep the dancer out of published photos and video. The dancer may still appear incidentally in wide shots of class.

Parent initials

Section 06Conduct

The dancer and Parent agree to follow studio rules and staff direction while at any DWD venue. The Director may decline future drop-in attendance at their discretion; any prepaid class not attended as a result is refunded in full.

Parent initials

Section 07Governing Law & Scope

This waiver is governed by Florida law, with venue in Orange County, Florida. It is the complete agreement for drop-in participation and does not enroll the dancer in ProSeries or any DWD program. If any provision is held unenforceable, the remainder stays in effect.

Parent initials

Section 08Signature

By signing, the Parent confirms they have read and initialed each section above and agree on behalf of themselves and the dancer.

Online acceptance: the checkbox, the date, and the accepting parent's name and IP address are recorded in place of a handwritten signature and initials.

Parent/Guardian Signature:
Printed Name:
Date:

DWD Director: Dixon Bowles

Signature:
Date: