North Star Academy of Dance LLC
Waiver and Release of Liability I
I understand and agree that in participating in any dance class, workshop, rehearsal, event or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of North Star Academy of Dance classes, rehearsals, performances, or activities. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights. I certify that there are no health-related reasons or problems which preclude my child’s participation in this activity or event.
I HEREBY WAIVE, RELEASE, AND DISCHARGE North Star Academy of Dance LLC and Karen Robinson, Owner and all divisions thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or instruction of camps, intensives, workshops, private instruction, choreography or any activity.
I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Owner: Karen Robinson, North Star Academy of Dance LLC and/or their directors, officers, managers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, activity or event volunteers;
I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this waiver, release and registration form from any and all liabilities or claims made as a result of participation in activities or events, whether caused by the negligence of release or otherwise. The waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
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, ACCEPT ALL TERMS OF MY OWN FREE WILL by indicating acknowledgment on this form.
Permission is granted to North Star Academy of Dance LLC to use photographs of students for publicity purposes.
Upon registration, you agree to be bound by the above statement