D. Rich Productions Performing Arts Training Program
& I am the Art Foundation
RELEASE OF LIABILITY
READ CAREFULLY -
In exchange for participation in the activity of Dance organized D. Richardson Productions Performing Arts
& I am the Art Foundation,and/or use of the
property, facilities and services of D. Rich Productions Performing Arts & I am the Art Foundation, I agree for myself and (if
applicable) for the members of my family, to the following:
1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and
warnings, and further agree to follow any oral instructions or directions given by D. Richardson Productions Performing Arts & I am the Art Foundation, or the employees, representatives or agents of D. Richardson Productions Performing Arts & I am the Art Foundation.
2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks
associated with the above described activity and I assume full responsibility for personal injury to myself
and (if applicable) my family members, and further release and discharge D. Richardson Productions Performing Arts & I am the Art Foundation
STUDIO for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of
D. Richardson Productions Performing Arts & I am the Art Foundation, whether caused by the fault of myself, my family, ID. Richardson Productions Performing Arts & I am the Art Foundation or other third parties.
3. INDEMNIFICATION. I agree to indemnify and defend INSERT NAME OF DANCE STUDIO against
all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other
litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of D. Richardson Productions Performing Arts & I am the Art Foundation.
4. FEES. I agree to pay for all damages to the facilities of INSERT NAME OF DANCE STUDIO caused by
any negligent, reckless, or willful actions by me or my family.
5 I, consent to the participation of my in the activity of Dance, and agree on behalf of the above minor to
all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have
legal authority over and custody of my child name below.
6. MEDICAL AUTHORIZATION. In the event of an injury to the above minor during the above
described activities, I give my permission to D. Richardson Productions Performing Arts & I am the Art Foundation or to the employees,
representatives or agents of D. Richardson Productions Performing Arts & I am the Art Foundation to arrange for all necessary medical
treatment for which I shall be financially responsible. This temporary authority will begin on first invoiced date and will remain in effect until terminated in writing by the undersigned or when the
above described activities are completed. D. Richardson Productions Performing Arts & I am the Art Foundation shall have the following
powers:
a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required
by the circumstances, including without limitation, that of a licensed medical physician and/or a
hospital;
b.The power to authorize medical treatment or medical procedures in an emergency situation; and
c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.
7. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall
be resolved under Pennsylvania law.
8. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and
that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge
that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and
acknowledge that INSERT NAME OF DANCE STUDIO has offered to refund any fees I have paid to use
its facilities if I choose not to sign this Agreement.
9. ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's
length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of
this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any
legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a
particular party based upon their status as the drafter of a specific term, language, or provision giving rise to
such ambiguity.
10. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether
standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or
enforceability of any other provision of this Agreement or of any other applications of such provision, as the
case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.