The individual(s) named below (referred to as "I" or "me") desires to participate in dance classes
(collectively, the "Activity") hosted by Dance Leelanau, LLC taking place at Leland River Studio,
LLC, a Michigan limited liability company with a studio in Leland, Michigan. Both are referred
to as the "Company". In consideration of being permitted by the Company to participate in the
Activity and in recognition of the Company's reliance hereon, I agree to all the terms and
conditions set forth in this instrument (this "Release").
I AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY
DANGEROUS ACTIVITY AND INVOLVES THE RISK OF PERSONAL INJURY, PAIN,
SUFFERING, TEMPORARY OR PERMANENT DISABILITY, AND/OR DEATH. I
ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE
COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF THE COMPANY,
INCLUDING NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF THE
COMPANY. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM
KNOWINGLY AND VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH AN
EXPRESS UNDERSTANDING OF THE DANGER INVOLVED AND HEREBY AGREE
TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY AND/OR
DEATH ARISING FROM MY PARTICIPATION IN THE ACTIVITY, WHETHER
CAUSED BY THE ORDINARY NEGLIGENCE OF THE COMPANY OR OTHERWISE.
I hereby expressly waive and release any and all claims, now known or hereafter known,
against the Company, and its officers, directors, manager(s), employees, agents, affiliates,
members, successors, and assigns (collectively, “Releasees”), on account of injury, disability,
or death arising out of or attributable to my participation in the Activity, whether arising
out of the ordinary negligence of the Company or any Releasees or otherwise. I covenant not
to make or bring any such claim against the Company or any other Releasee, and forever release
and discharge the Company and all other Releasees from liability under such claims.
I shall defend, indemnify, and hold harmless the Company and all other Releasees against any and
all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest,
awards, penalties, fines, costs, or expenses of whatever kind, including attorneys’ fees, the costs
of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance
providers, incurred by/awarded against the Company or any other Releasees, arising out or
resulting from any claim of a third party related to my participation in the Activity.
This Release constitutes the sole and entire agreement of the Company and me with respect to the
subject matter contained herein and supersedes all prior and contemporaneous understandings,
agreements, representations, and warranties, both written and oral, with respect to such subject
matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any
jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or
provision of this Release or invalidate or render unenforceable such term or provision in any other
jurisdiction. This Release is binding on and shall inure to the benefit of the Company and me and
our respective heirs, successors, and assigns. All matters arising out of or relating to this Release
shall be governed by and construed in accordance with the internal laws of the State of Michigan
without giving effect to any choice or conflict of law provision or rule. Any claim or cause of
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action arising under this Release may be brought only in the federal and state courts located in
Leelanau County, Michigan and I hereby consent to the exclusive jurisdiction of such courts.
BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF
THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP
I am the parent or legal guardian of the minor(s) named below. I have the legal right to consent to
and, by signing below, I hereby consent and agree to the terms and conditions of this Release of
Liability and Assumption of Risk.
I hereby authorize Caitlin Watkins, Hillary Voight and Dance Leelanau to publish a photograph or video of the minor child/children listed for use in press releases, promotional videos, brochures, and other material utilized for fundraising or public
relation opportunities in mediums, including (but not limited to): community service events, newspapers, magazines, social media and websites.
I hereby release and hold harmless Caitlin Watkins, Hillary Voight and Dance Leelanau from any reasonable expectation of privacy or confidentiality for the minor child listed
below associated with the photograph or video. Further, I attest that I am the parent or legal guardian of the child identified below and that I have full authority to consent and authorize Caitlin Watkins, Hillary Voight and Dance Leelanau to use the child’s likenesses and name. I give permission for this child/children to participation in the Caitlin Watkins, Hillary Voight and Dance Leelanau program. I release Caitlin Watkins, Hillary Voight and Dance Leelanau of liability in relation to practices and programs as well as transportation.