Liability Waiver and Release
I, ______________________________, on behalf of myself and/or my child (collectively referred to herein as “Iâ€), desire to
participate in the programs, demonstrations, classes, or any other activity or observe the programs, demonstrations, classes, or any
other activity (the “Activityâ€) provided or sponsored by Revel Dance Academy LLC, a Wisconsin limited liability company (the
“Companyâ€). 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 “Agreementâ€).
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, “Releaseesâ€), 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: ______________________________________