Skate Sistas Liability Waiver and Image Release

Emergency Information

Informed Consent and Acknowledgement

Assumption of Risk: I understand that roller skating involves physical activity and the potential for falls, injuries, and accidents. I am voluntarily participating in this class/ workshop/ event understanding the inherent risks involved, including but not limited to falls, collisions, or other accidents that may result in personal injury.

Medical Fitness: I confirm that I am physically fit and do not have any medical conditions that would prevent me from safely participating in roller skating, dance, stretch, etc. activities. I understand that it is my responsibility to consult a medical professional if I have any concerns regarding my ability to safely participate.

Waiver of Liability: I, on behalf of myself, my heirs, and any other party who may have a claim on my behalf, hereby waive, release, and hold harmless the Skate Sistas, Edrina Newman, its owners, instructors, employees, and affiliates from any and all liability, claims, or demands for injuries, illnesses, or damages of any kind arising from my participation in this class. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Skate Sistas and Edrina Newman and all its respective officers, agents, and representatives from any and all liability for injuries arising out of traveling to, participating in, or returning from any classes, workshops, events, etc.

Medical Release and Authorization

In case of injury, I hereby waive all claims against the Skate Sistas and or Edrina Newman. That includes all Instructors, assistants and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the class, workshop or event. There is a risk of being injured that is inherent in all activities, including roller skating. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death. 

Consent to Emergency Medical Treatment
In the event of an injury or medical emergency, I authorize the Skate Sistas and or Edrina Newman to provide or arrange for first aid and to arrange transportation to a medical facility if necessary. I understand that any medical treatment or transportation costs will be my responsibility.

Image and Video Release
I understand and agree that the Skate Sistas and Edrina Newman may take photographs and/or videos during classes for marketing, promotional, and educational purposes. By signing this form, I grant permission to the Skate Sistas and Edrina Newman to use my image and likeness, as follows:

I consent to the unrestricted use of my image, likeness, and/or voice in photos, videos, or other media for marketing, advertising, and promotional purposes, both online and in print, with no financial compensation.

I understand that my image may be used in social media posts, websites, flyers, or other promotional materials by the Skate Sistas and Edrina Newman.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.