I understand that there are specific risks of physical or property damages, losses, or injury that may result from my or my child’s participation with Creative Motion Studios, and I voluntarily assume the risks associated with such participation.
Waiver and Release
In consideration of accepting my or my child's participation in the dance and fitness program at Creative Motion Studios, LLC (the “Activityâ€), I represent that I understand the nature of this Activity and that I or my child, as the case may be, is qualified, in good health, and in proper physical condition to participate in such Activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by mine or my child’s own actions, or inactions, those of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the “Releasees†named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for injury, liability, losses, costs, and damages that me or my child incurs as a result of participation in the Activity. Furthermore, I authorize Creative Motion Studios, LLC to administer first aid to me or my child in the case of an emergency. I, the undersigned, intend to be legally bound for myself, my child, my executors, administrators, heirs, successors and assigns hereby WAIVE, RELEASE, DISCHARGE AND COVENANT AND AGREE NOT TO SUE Creative Motion Studios, LLC, Natalie OrrÂ-Andrea and its or her respective members, managers, officers, employees, representatives, affiliates, heirs or permitted assigns or other participants (each considered one of the “RELEASEEES†herein) from any and all injuries (including but not limited to personal injury, property damage or death) suffered by me or my child and any and all other liability, claims, demands, losses, or damages, on my account or my child’s account caused or alleged to be caused in whole or in part by the negligence of the “RELEASEES†or otherwise, including negligent rescue operations and further agree that if, despite this release and waiver of liability agreement I, or anyone on my or my child’s behalf, makes a claim against any of the RELEASEES, I will indemnify, save, and hold harmless each of the RELEASEES from any loss, liability, damage, or cost, which may incur as the result of such claim. By signing this form, I certify that I have read and understand the contents of the release and waiver of liability agreement and agree to be legally bound by all of its terms and conditions. I have read the RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extend allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
PARENT/GUARDIAN/AGENT: The undersigned verifies that he/she is the parent/guardian/agent of the Child and it is the undersigned’s desire on his/her behalf that the Child be permitted to participate in the dance and fitness program provided by the Activity and that the undersigned has authority to enter this agreement on the Child’s behalf and agree that the undersigned and the Child be bound by the terms of this Release and Waiver of Liability.
I certify that I have read and understand the contents of the release and waiver of my right to sue and agree to be legally bound by all of its terms and conditions.
This form also authorizes Creative Motion Studios, LLC to administer First Aid in case of an emergency.