I do hereby assume any and all risks involved in, or arising from, the above named child's participation in the Program. I certify that the child is physically fit, sufficiently prepared for participation in the event and has not been advised otherwise by a qualified medical person that the child cannot participate.As a participant in the Program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss, regardless of severity, which the child may sustain as a result of participating in any and all activities connected with or associated with the Program. I agree to waive and relinquish all claims I or my child may have as a result of participating in the Program against the Program, Expressions In Motion Dance, LLC, and its members, directors, instructors, officers, agents, servants, employees and all of its successors, assigns, subsidiaries, and affiliates. I fully release and discharge the Program, Expressions In Motion Dance, LLC, and its members, directors, instructors, officers, agents, servants, employees and all of its successors, assigns, subsidiaries, and affiliates from any and all claims from injuries, including death, damage or loss which I or my child may have or which may accrue to me or my child on account of my child's participation. I further agree to indemnify and hold harmless and defend the Program, Expressions In Motion Dance, LLC, and its members, directors, instructors, officers, agents, servants, employees and all of its successors, assigns, subsidiaries, and affiliates from any and all claims from injuries, including death, damages and losses sustained by my child or arising out of, connected with, or in any way associated with the activities of the Program. In the event of emergency, I authorize the Program and its personnel to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my child's immediate care and I agree that I will be responsible for payment of any and all medical services required. This release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Georgia, and that if any portion of the agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. As parent, guardian, or custodian I have full legal authority to execute this agreement on behalf of the above-named participant. I have read and understand the above agreement and further understand that by making this agreement I surrender valuable rights on behalf of ourselves and our child. I do so freely and voluntarily. I hereby certify that I have read this document and I understand its contents.
I understand that in this Program or related activities my child may be photographed. I agree to allow my child's photo, video or film likeness to be used for any legitimate purpose by the Program.