WAIVER OF LIABILITY, HOLD HARMLESS,
USE OF LIKENESS AGREEMENT
In consideration of Bailey’s Dance Studio, Bailey Bradley, providing the opportunity for and permitting the undersigned (Participant) to participate and take part in classes and other related activities, the undersigned Participant and Parent, if applicable, of the Participant, do hereby release, remise and forever discharge, indemnify and agree to HOLD HARMLESS, WAIVE, DISCHARGE and COVENANT NOT TO SUE Bailey’s School of Dance, Bailey Bradley, or any host location, their officers, employees, faculty, instructors, servants, agents and assigns, hereinafter referred to as Releasees, from any claim, demand or cause of action whether now in existence, or hereafter arising for any loss of personal property, injury to the Participant or for the death of the Participant, arising out of, resulting from or contributed to in whole or in any part by any action or failure to act, negligence, breach of contract, or other misconduct on the part of Releasees, any other Participant in said studio, any participating parent and/or any one or more thereof.
We recognize and acknowledge that certain risks of harm are or may be inherent in the various activities contemplated herein and that Bailey’s School of Dance or Releasees cannot control all of these risks. We are aware that dance, tumbling, and cheerleading training and the exercises associated with them place unusual stress on the body and carry with them the risk of physical injury. I/We assume the risks involved. I/We understand that dance instruction involves kinetic correction that may include physically touching the student (Participant) as part of the regular class work and/or rehearsal. I/We assume the risk and agree that Bailey’s School of Dance faculty have permission to engage in appropriate kinetic correction of the body for technical corrective purposes as part of regular class work and rehearsal.
I also understand that it is the parents’ responsibility to warn the child about the dangers of dance, tumbling, cheerleading injuries. The parent should warn the child according to what the parent deems appropriate. I/We represent that the student is in good physical and/or mental condition and that she/he has no impairments, ailments, disabilities or special circumstances to prevent them from undertaking any activity.
It is my/our express intent that this Release and Hold Harmless Agreement shall bind the members of my/our family if I am alive, and my heirs, assigns and personal representative, if I am not alive. It shall be deemed as a RELEASE, WAIVER, DISCHARGE, and COVENANT NOT TO SUE the above named RELEASEES.
I understand that neither Bailey’s School of Dance nor any host facility will be responsible for any medical costs associated with any injury that I or my child may sustain.
I/We understand that I/we should and am/are urged by Releasees to obtain health and accident insurance to cover any personal injury to me/my child (Participant), which may be sustained. I/We agree that I or my child (Participant) will adhere to the rules and regulations of Bailey’s School of Dance and our Host location.
Upon execution of this agreement, the Undersigned also releases ownership and authorizes the use of her/his likeness and image, either in print media format or video in perpetuity for use by Bailey’s School of Dance for advertising and decorative purposes without compensation.
In signing this release, I acknowledge and represent that I/we have read the foregoing Waiver of Liability, Hold Harmless, Use of Likeness Agreement, understand it and sign it voluntarily as my/I own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made.
_______________________________________ ________________________________
STUDENT/PARTICIPANT PARENT/LEGAL GUARDIAN
DATE ________________________________