LIABILITY RELEASE FORM
1. INSTRUCTIONS:
This waiver consists of three (3) IMPORTANT SECTIONS- including this instruction section. Please review each section carefully and initial and sign in the appropriate spaces. Please check with VDA admin if you have any questions. Please note that no employee, staff member or instructor of Vdanse Academy, Vdanse Studio Renters, and/or any sub-leased facility is qualified or permitted to provide legal and/or medical advice of any kind.
2. RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT (THE "AGREEMENT")
IN CONSIDERATION of being permitted to participate in any way in the dance instruction activities, all as further described below (the "Activity") I, for myself for personal representatives, assigns, heirs, and next of kin:
Acknowledge, agree, and represent that (a) I understand the nature of the Activity, (b) that I am qualified, in good health, and in appropriate physical condition to participate in the Activity, which shall consist of training in the physical activity of dance including, but not limited to, warm-up activities, dance activities and warm-down activities. I further agree that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.
Fully understand that: (a) the Activity involves risks and danger of serious bodily injury including permanent disability, paralysis, and death (collectively, the “Risks”); (b) such Risks may be caused by my own action or inaction, the actions or inaction of others participating in the Activity, the conditions under which the Activity is conducted, or the negligence of the Releasees (as defined below); (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.
HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE AND SHALL INDEMNIFY, DEFEND AND HOLD HARMLESS VDANSE ACADEMY, ANY SUB-LEASED FACILITIES, ITS ADMINISTRATORS, DIRECTORS, AGENTS, OFFICERS, MEMBERS, VOLUNTEERS, AND EMPLOYEES (COLLECTIVELY, THE “RELEASEES”), FROM AND AGAINST ALL ACTIONS, CLAIMS, COSTS (INCLUDING WITHOUT LIMITATION, COSTS OF INVESTIGATION, LITIGATION, AND COURT COSTS), DAMAGES, DEMANDS, FINES, INTEREST, JUDGMENTS, LIABILITIES, LOSSES, PENALTIES, PROCEEDINGS, SUITS (INCLUDING APPEAL), AND EXPENSES (INCLUDING, WITHOUT LIMITATION, REASONABLE ATTORNEYS’ FEES) (COLLECTIVELY, “CLAIMS”) ARISING OUT OF, OR RELATED TO THE ACTIVITY.THE OBLIGATIONS TO RELEASE, DISCHARGE, INDEMNIFY, DEFEND AND HOLD HARMLESS AND THE CONVENANT NOT TO SUE CONTAINED IN THIS SECTION 3 SHALL APPLY EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE JOINT, SOLE, OR CONCURRENT NEGLIGENCE, GROSS NEGLIGENCE, STRICT LIABILITY, CONTRACTUAL LIABILITIES OF THIRD PARTIES, OR OTHER FAULT, WHETHER PASSIVE OR ACTIVE, OF ANY PERSON OR ENTITY, INCLUDING BUT NOT LIMITED TO ANY OF THE RELEASEES.
3. PARENTAL CONSENT AND RELEASE
I, the minor’s parent and/or legal guardian, understand the nature of the Activity and the minor’s experience and capabilities and believe the minor to be in qualified, in good health, and proper physical condition to participate in such Activity. I have read and understand the Agreement and hereby consent to the minor’s participation in the activity and I, on behalf of myself and the minor, HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE AND SHALL INDEMNIFY, DEFEND AND HOLD HARMLESS THE RELEASEES, FROM AND AGAINST ALL CLAIMS ARISING OUT OF, OR RELATED TO THE ACTIVITY. THE OBLIGATIONS TO RELEASE, DISCHARGE, INDEMNIFY, DEFEND AND HOLD HARMLESS AND THE CONVENANT NOT TO SUE CONTAINED HEREIN SHALL APPLY EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE JOINT, SOLE, OR CONCURRENT NEGLIGENCE, GROSS NEGLIGENCE, STRICT LIABILITY, CONTRACTUAL LIABILITIES OF THIRD PARTIES, OR OTHER FAULT, WHETHER PASSIVE OR ACTIVE, OF ANY PERSON OR ENTITY, INCLUDING BUT NOT LIMITED TO ANY OF THE RELEASES.
MEDIA RELEASE FORM
I hereby grant and authorize VDANSE STUDIOS the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures and/or video taken of me and/or my participant by VDANSE STUDIOS to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration. This authorization extends to all languages, media, formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing.
I understand and agree that these materials shall become the property of VDANSE STUDIOS and will not be returned.
I hereby hold harmless, and release VDANSE STUDIOS from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.