FALL Liability & Media Waiver
  • Liability & Media Waiver

  • I, the Participant or Parent/Guardian, have chosen to participate in instruction in dance, aerial dance, or experimental arts presented by FALL. I acknowledge that I understand the nature of the activities I will be participating in and that I am in the proper physical condition and capable of participating in the related activities, understanding that FALL is not in any way responsible for making such a determination.

     I understand and agree to release, hold harmless, and discharge FALL from all claims, costs, liabilities, expenses, or judgments, including attorneys’ fees and court costs for any occurrences in connection with any dance or aerial instruction, rehearsal, or performance. 

    I assume all risks to myself and my personal property in connection with any instruction and further release FALL and its owners, employees, and volunteers from liability for any injury I may sustain while engaged in any instruction program, rehearsal, performance, or exhibition and all risks reasonably connected with such activity whether foreseen or unforeseen.

    I understand that FALL is not responsible for personal property that is lost, damaged, or stolen while I am participating in activities provided by FALL or its partners.

    I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and my personal property to participate in FALL activities and that FALL does not provide accident or health insurance for those participating in its instruction, activities, or programs.

    This agreement extends to any programs hosted by FALL or its partners.

  • Media Release

    I acknowledge that photographs, videos, or images of myself/my child may be taken during the activity. I provide FALL, along with their agents and affiliates, with unrestricted permission to utilize my/my child's name, photographs, or any other documentation of our participation in this activity for purposes of record-keeping, marketing, advertising, public relations projects and/or social media, and that I have no rights to the same and will not be compensated for the same. I waive any right to inspect or approve the photographs, videos, or likenesses of myself. I agree that FALL owns the copyright in these images and I hereby waive any claims I may have based on any such usage, including but not limited to claims for either invasion of privacy or libel.

  • By Signing this waiver, I affirm that I have read and understand it and agree with its contents.

  • Printed Name of Participant:             

    Participant’s DOB:   Pick a Date*

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  • Emergency Contact

    Name:   *   *   Relationship: *

    *   *   

  • For Parents/Guardians of minor participants only: 
    As the minor’s parent/guardian, I hereby consent to his/her participation in the activity. If my child is injured or becomes ill and neither I nor the other parent/guardian can be reached at the numbers below, I give the FALL and its partners permission to seek medical attention for my child.    

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