SECTION 1 · HOLD HARMLESS AGREEMENT
Waiver of Liability — Please read in full before agreeing
SECTION 2 · MEDIA RELEASE & CONSENT
Photography, Video, Audio & Likeness — Please read in full

Select your media rights grant:

SECTION 3 · PARTICIPANT INFORMATION
All fields are required. Information is stored securely.

Personal Details

Please enter your full legal name.
Please enter your date of birth.
Please enter a valid email address.
Please enter your phone number.
Please select your country.
Please enter your city.
PARENT / GUARDIAN CONSENT REQUIRED (Participant under 18)
Guardian name is required for participants under 18.
Guardian signature is required for participants under 18.

By entering the guardian's name above, the parent or legal guardian confirms they have read, understood, and consent to both the Hold Harmless Agreement and Media Release on behalf of the minor participant.

SECTION 4 · ELECTRONIC SIGNATURE
Your typed name serves as your legally binding electronic signature
SIGN HERE — ELECTRONIC SIGNATURE

By typing your full legal name below, you confirm that you have read and understood both the Hold Harmless Agreement and the Media Release Consent in their entirety, and that you are signing voluntarily and without coercion. This typed signature has the same legal effect as a handwritten signature under applicable electronic signature laws.

Date signed:

Your information is stored securely. This form is for The Ultimate Unification of Dance competition only. For questions email ultimateunificationofdance@gmail.com