BREAK FREED AY 2021 – Open Prelim Registration

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The following registration is for ON-SITE participation in the Open Prelims round for SURVIV-ILL 2021 in Houston TX on October 16th. This is NOT an online battle.

Please plan to be in HOUSTON TX on October 16th from 12-4pm for your preliminary round - check in at the registration booth when arriving on site.


  • 1. Media Liability Release I hereby authorize Break Free Worldwide (BFWW) to use my photo and/or video media related to my experiences and participation in events. I understand this information and media may be used in publications, including electronic publications, social media, audiovisual presentations, promotional literature, advertising, community presentations, letters to area legislators and media and/or other similar ways. 2. Waiver of Liability I/we realize that participation in dance events and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces, programs, and online events curated by Break Free Worldwide (BFWW). I/we agree to release and hold harmless BFWW including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Break Free liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by BFWW. I understand that Break Free are licensed, accredited and insured organizations. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the BFWW as soon as possible 3. Refund Policy I hereby understand that the participation fee I am paying in order to participate in Surviv-ILL Global Championship 2021 is non-refundable - after I complete my payment and registration form, I understand that it is at my discretion and responsibility to submit the video necessary to attempt qualification for the TOP 32 bracket in my category.


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