BOSCO HIP HOP CONVENTION RELEASE FORM

JULY 19-20, 2016

($200 -- check made out to RDS II)

DEADLINE: JULY 6, 2016

WAIVER AND RELEASE FORM 2016

BOSCO HELD AT RDS II, 520 Wicks Lane

I hereby waive all claims for injury, damage or loss to my person and property during my participation and release the promoters, directors, principals, agents and employees of BOSCO Productions and Convention from any liability for injury, damage or loss which may be caused by any act or omission of any of them.

I understand that the purpose of BOSCO Productions and Conventions is to provide quality danceworkshops and studio showcase dance opportunities. Photographs, taping or filming of participants by any and all BOSCO Productions and Convention Staff members, agents or members of the press become the property of BOSCO Productions and Convention and may be used for future promo use. By signing, each of the registered participants in BOSCO Productions and Convention each dancer and/or parents expressly adopts and agrees to be bound by the above Waiver and Release Agreement.

The signature of a parent/guardian, studio director/owner, or teacher is required in the case of every participant who is under 18 years of age (participants 18 years of age and over must sign for themselves).

The proper signing of this agreement on this form is a condition of participation in the event.

PLEASE FILL OUT:

Studio Name : RIMVIEW DANCE STUDIO________________

Director: MISS LYNDA KAYE MCCLEARY_________________

Address: 278 Quiet Water Avenue______________________

City/State/Zip: Billings Montana 59105___________________

Studio Phone: (406)-855-4909_________________________

DANCER'S NAME___________________________________

E-MAIL ADDRESS_________________________________

PARENT'S SIGNATURE______________________________

PARENT'S TELEPHONE______________________________