Studio:                                                                          Phone:                                 

Address:                                                                                                                                                         

City:                                                      State:              Zip:                       

Fax:                                  Email:                                                     

Contact person:                                                                                                                                     

Release

The competition organizers, their employees, associates and assigns cannot be held liable for any injuries sustained by any persons attending the competition, whether as a competitor or as a spectator. Each person attending in any capacity whatsoever does so entirely at his or her own risk. No responsibility can be assumed by the organizers for loss or theft of articles left in the ballroom or changing rooms. By my signature below I confirm that I have read and understood the above statement and the "Rules and Regulations" and agree to comply fully with them.