Liability Waiver and Release
I, ______________________________, on behalf of myself and/or my child (collectively referred to herein as “I”), desire to
participate in the programs, demonstrations, classes, or any other activity or observe the programs, demonstrations, classes, or any
other activity (the “Activity”) provided or sponsored by Revel Dance Academy LLC, a Wisconsin limited liability company (the
“Company”). As lawful consideration for being permitted by the Company to participate in the Activity, I hereby agree to all the terms
and conditions set forth in this agreement (this “Agreement”).
I am aware and understand that the Activity could involve the risk of serious injury and/or death. I acknowledge that
any injuries that I sustain may be compounded by negligent emergency response or rescue operations of the Company. I
acknowledge that I am voluntarily participating in the Activity with knowledge of the dangers involved and hereby agree to
accept and assume any and all risks of injury and death whether caused by the negligence of the Company or otherwise. I
acknowledge that I have disclosed to the Company any and all physical limitations or medical conditions that may interfere or
hinder my ability to participate in the Activity.
I hereby expressly waive and release any and all claims, now known or hereafter known against the Company, and its
officers, directors, employees, agent, affiliates, successors, and assigns (collectively, “Releasees”), arising out of or attributable to the
Activity, whether arising out of the negligence of the Company or any Releasee 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 further acknowledge that this Agreement does not waive any claims regarding reckless or intentional
conduct by the Company or any other Releasees.
I agree that in addition to the release provided, that I am also representing on behalf of my spouse, significant other, and
children, that they will not bring any claims against the Company or Releasees for any claims arising out of injuries or losses I sustain
while participating in the Activity.
I hereby irrevocably grant unlimited permission for the Company and Releasees to use, reproduce, disseminate, and distribute
any and all photographs, images, videos, recordings, or any other depiction of any kind of my or my child’s participation in the
Activity. I acknowledge that these depictions may be used on social media and in advertising, but will not disclose my full name.
This Agreement 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 Agreement is invalid, illegal, or unenforceable in
any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or
invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement is binding on and shall inure to the
benefit of the Company and me and their respective successors and assigns. All matters arising out of or relating to this Agreement
shall be governed by and construed in accordance with the internal laws of the State of Wisconsin without giving effect to any choice
or conflict of law provision or rule (whether of the State of Wisconsin or any other jurisdiction). Any claim or cause of action arising
under this Agreement may be brought only in the federal and state courts located in Calumet County, Wisconsin 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 Agreement and that I am
voluntarily giving up substantial legal rights, including the right to sue the Company.
Participant Name: _______________________________________ Date: _____________________
Signature (if over 18): ______________________________________
I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I
hereby do consent to the terms and conditions of this Release of Liability.
Parent Signature: _______________________________________ Date: _____________________
Name Printed: ______________________________________
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM VIRTUAL DANCE CLASSES
I, PARENT/GUARDIAN OF SAID CHILD(REN) HEREBY ASSUME ALL OF THE RISKS OF MY CHILD(REN) PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THESE VIRTUAL DANCE CLASSES, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective reigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of my child(ren), for my child(ren)’s death, disability, personal injury, or actions of any kind which may hereafter occur to my child(ren) during VIRTUAL DANCE CLASSES BY THE FOLLOWING ENTITIES OR PERSONS: Revel Dance Academy LLC and/or their directors, employees, or volunteers.
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE THE FOLLOWING ENTITIES OR PERSONS: Revel Dance Acadmey and/or their directors, employees, or volunteers from any and all liabilities or claims made as a result of participation in VIRTUAL DANCE CLASSES, whether caused by the negligence of release or otherwise. I acknowledge that Revel Dance Academy LLC and their directors, employees, and volunteers are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting VIRTUAL DANCE CLASSES on their behalf. I acknowledge that this activity may involve injury. The risks include, but are not limited to, those caused by jumping, leaping, turning, stretching, or any dance movement, lack of hydration, improper dance floor, and actions of other people including, but not limited to, participants, and/or producers of the activity.
I hereby consent for my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during VIRTUAL DANCE CLASSES. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT. I SIGN IT OF MY OWN FREE WILL. I certify that my child(ren) is physically fit, has sufficiently prepared or trained for participation in VIRTUAL DANCE CLASSES, and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child(ren)’s participation in VIRTUAL DANCE CLASSES. I acknowledge that this Accident Waiver and Release of Liability Form will be used by Revel Dance Academy LLC, the director, class holders, sponsors, and organizers of the activity in which my child may participate, and that it will govern my child(ren)’s actions and responsibilities at VIRTUAL DANCE CLASSES. I permit my child to participate in VIRTUAL DANCE CLASSES.
Participant’s Name(s) Parent/Guardian Date
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