Statesboro Elite Dance, LLC
Liability Release Waiver
1. Agreement to follow directions. I agree to observe and obey all posted rules and warning, and further agree to follow any oral instructions or directions given by any employee of Statesboro Elite Dance, LLC.
2. Assumption of the risks and release. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself (and if applicable) my family members, and further release and discharge Statesboro Elite Dance, LLC for injury, loss or damage arising out of my or my family’s use of presence upon the facilities of Statesboro Elite Dance, LLC, whether caused by the fault of myself, my family, Statesboro Elite Dance, LLC or other third parties.
3. Indemnification. I agree to indemnify and defend Statesboro Elite Dance, LLC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities of Statesboro Elite Dance, LLC.
4. Photography, Video, Advertisements. I give Statesboro Elite Dance, LLC permission to use photos and videos of myself/my child/the minor child for whom I am legal guardian for promotional purposes. including, but not limited to: in the dance studio, on the Statesboro Elite Dance website, or in the community.
5. Fees. I agree to pay for all damages to the facilities of Statesboro Elite Dance, LLC caused by any negligent, reckless, or willful actions by me or my family.
6. Applicable Law. Any legal or equitable claim that may arise from participation in the above shall be resolved under Statesboro Elite Dance, LLC law.
7. No Duress. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Statesboro Elite Dance, LLC has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.
8. Dispute Resolution. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.
Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation does not successfully resolve the dispute, then the parties may proceed to seek an alternative form of resolution in accordance with any other rights and remedies afforded to them by law.
9. Emergency Contact. In case of an emergency, please call:
Name of contact: _________________________ Relationship: _________________________
Phone Number: ________________________ Alternative Number: _____________________
I have read this document and understand it. I further understand that by signing this release, I voluntarily surrender certain legal rights.
Participant’s Name: __________________________________________ Birthdate: _________________
Participant’s Signature: ___________________________________________ Date: _________________
OR Parent/Guardian Signature: _____________________________________ Date: _________________