Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Mattix Music Inc. during the selected camp. In exchange for the acceptance of said child’s candidacy by Mattix Music Inc. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Mattix Music Inc. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Mattix Music Inc. including all faculty and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all children's activities.
Medical Release and Authorization As Parent and/or Guardian of the named student, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Mattix Music Inc. and its affiliates including Directors, Teachers, and Staff to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered camp. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Assumption of the Risk & Waiver of Liability The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Mattix Music Inc. has put in place preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending music classes could increase your risk and your child(ren)’s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending music classes and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Mattix Music Inc. may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Mattix Music Inc. employees, volunteers, and class participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Mattix Music Inc. or participation in music classes (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Mattix Music Inc., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Mattix Music Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any music class.
I, student/parent/guardian, for and in consideration of the payment to me of music lessons, classes and activities, the receipt and sufficiency of which is hereby acknowledged, do hereby release and forever discharge Mattix Music Inc., their agents, independent contractors, employees, successors and assigns, and their respective heirs, personal representatives, affiliates, successors and assigns, and any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, none of whom admit any liability to the undersigned, but all expressly denying liability, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, which I now have or may hereafter have, arising out of or in any way relating to any and all injuries and damages of any and every kind, to both person and property, and also any and all injuries and damages that may develop in the future, as a result of or in any way relating to the following: music lessons, classes and activities, including exposure to contagious disease due to teacher-to-student proximity or student-to-student proximity. It is understood and agreed that this payment is made and received in full and complete settlement and satisfaction the causes of action, claims and demands mentioned herein; that this Release contains the entire agreement between the parties; and that the terms of this Agreement are contractual and not merely a recital. Furthermore, this Release shall be binding upon the undersigned, and respective heirs, executors, administrators, personal representatives, successors and assigns. This Release shall be subject to and governed by the laws of the State of Illinois. This Release has been read and fully understood by the undersigned and has been explained to me and goes into effect upon the submission of this form.
Photo Release I grant to Mattix Music Inc., its representatives and employees the right to take photographs of me, my family members, and my property in connection with music lessons and classes. I authorize Mattix Music Inc., its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Mattix Music Inc. may use such photographs of me or my child without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. Mattix Music Inc. may use pictures of students to post on social media but never tags its students or mentions the name of any family members without explicit written permission.