This is a Release and Waiver of Liability (the “Release”) executed (the “Participant”), in favor of YOUR NAME, and its Members, employees, and agents.
Participant desires to participate in certain dance classes and activities of YOUR NAME and assures that Participant is in proper physical condition to take part in dance classes and activities at YOUR NAME. Participant understands that there are risks of physical injury associated with, arising out of, and inherent to dancing and activities associated therewith. In recognition of this acknowledged risk of injury, and in consideration of being accepted into such dance classes or activities, Participant hereby freely, voluntarily and without duress executes this release and waiver of liability under the following terms:
1. Release and Waiver. Participant does hereby release and forever discharge and hold harmless YOUR NAME, its Members, employees, and agents for any and all claims or demands for damages, loss of services, costs, and expenses in any way resulting from any and all injury to Participant or property of Participant arising directly or indirectly out of Participant’s participation in any and all activities of YOUR NAME including, but not limited to, dance classes, competitions, performances, travel to and from competitions or performances, and any and all activities associated or performed in conjunction with YOUR NAME.
Participant understands that this Release discharges YOUR NAME from any liability or claim that the Participant may have against YOUR NAME with respect to any bodily injury, personal injury, illness, death, or property loss or damage that may result from Participant’s activities with YOUR NAME, whether caused by the negligence of YOUR NAME or its Members, employees, agents, or otherwise. Participant also understands that YOUR NAME does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to, medical, health, or disability insurance in the event of injury or illness.
2. Indemnification. Participant agrees to indemnify and hold forever harmless YOUR NAME, its Members, employees, and agents from any and all injuries, damages, costs, and attorney’s fees whatsoever which may arise out of the Participant’s participation in any YOUR NAME activity or presence on the premises of a designated dance studio.
3. Medical Treatment. If Participant consents and authorizes the employees, representatives, and agents of YOUR NAME to obtain necessary medical treatment or hospitalization or such other care necessary for the health and welfare of Participant, and Participant agrees to be responsible for and pay the cost of such medical treatment or hospitalization. Participant hereby authorizes YOUR NAME, its employees, and agents to consent to x-ray examinations, anesthesia, medical or surgical diagnosis, and/or treatment and hospital care to be rendered to Participant pursuant to the advice of a physician, surgeon, or dentist licensed under the laws of the State of YOUR STATE / COUNTRY. Participant does hereby release and forever discharge YOUR NAME from any claim whatsoever which may arise or may hereafter arise on account of any first aid, treatment, or service rendered in connection with Participant’s participation in YOUR NAME activities or with the decision by any employee, representative, or agent of YOUR NAME to exercise the power to consent to medical or dental treatment as such power may be granted and authorized herein.
4. Insurance. Participant understands that, except as otherwise agreed to by YOUR NAME in writing, YOUR NAME does not carry or maintain health, medical, or disability insurance coverage for any participant. Participant understands that it shall be Participant’s sole responsibility to obtain his or her own medical or health insurance coverage for Participant.
5. Photographic Release. Participant does hereby grant and convey unto YOUR NAME all right, title, and interest in any and all photographic images and video or audio recordings made by YOUR NAME during Participant’s participation of any and all YOUR NAME activities, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings, and further consenting to use Participant’s photo or likeness in or on any form of advertisement for YOUR NAME or a YOUR NAME-sponsored event.
6. Miscellaneous. This Release and Waiver of Liability shall be binding on the heirs, successors and personal representatives of the Participant. Participant expressly agrees that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of YOUR STATE, and that this Release and Waiver of Liability shall be governed by and interpreted in accordance with the laws of the State of YOUR STATE. Participant agrees that, in the event that any provision herein shall be held to be invalid by any court of competent jurisdiction, the invalidity of such provision shall not otherwise affect the remaining provisions of the Release and Waiver of Liability, which shall continue to be enforceable to the full extent permitted under the law.
I have read the foregoing Release and Waiver of Liability and acknowledge that the provisions are contractual and not a mere recital, and I understand that I am bound by the terms hereof by placing my signature herein.
If Participant is a minor, the parent having legal custody and/or the legal guardian of the minor hereby represents and warrants that they have the legal authority to bind the Participant. Such parent or guardian executes this release on behalf of the minor and the parent or guardian, and this release is binding on the child and such parent or guardian.