By completing this form, I agree that:

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1. I am participating in the Zumba Dance Fitness Classes, Programs or Workshops offered by Mandakini (Dalia) Foux during which I may receive guidance, information and instruction on such activity. I recognise that ZUMBA Fitness programs require physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
    

2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the ZUMBA Dance Fitness Classes, Programs or Workshops. I represent and warrant that I am physically fit and have no medical condition that would prevent my full participation in the ZUMBA Exercise Classes, Health Programs or Workshops.
    

3. In consideration of being permitted to participate in Dace Fitness Classes, Programs or Workshops, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the classes /program.
    

4. In consideration of being permitted to participate in Health & Fitness Classes, Programs or Workshops, I knowingly, voluntarily and expressly waive any claim I may have against the owners, instructors, and assistance, individually or otherwise of Mandakini (Dalia) Foux for injury or damages that I may sustain as a result of participating in the program.
    

5. I, my heirs or legal representatives’ forever release waive, discharge and covenant not to sue Mandakini (Dalia) Foux for any injury or death caused by their negligence or other acts. I have read the above realise and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
    

6. The entrant to Zumba Fitness Class with Mandakini, hereby releases ownership & permits usage of any photographs and/ or video footage to the Instructor Mandakini (Dalia) Foux or substitute instructor.