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Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement for Berks Ballet Theatre Conservatory of Dance.

In consideration of participating in the programs and activities of Berks Ballet Theatre Conservatory of Dance, I represent that I understand the nature of these activities and that I am qualified, in good health and in proper physical condition to participate in such activities. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that these activities involve risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or interactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “releases” 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 losses, cost, and damages I incur as a result of my participation on the activities.

I hereby release, discharge, and covenant no to sue Berks Ballet Theatre Conservatory of Dance, its respective administrators, directors, agents, officers, operators, staff, volunteers, contractors, employees, other participants, any sponsors, advertisers, owners, event facility and lessors of premises on which the activities take place, (each considered on the “RELEASEES”) herein from all liability, claims, personal injuries, loss of damage to personal property, or demands, on my account caused or alleged to be caused in whole or in part of negligence of the “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability and assumption of risk, I , or anyone on my 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 any may incur as the result of such claim.

I, the minor’s parent and / or legal guardian, understand the nature of the above referenced activities and the Minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses or damages on the minor’s account caused or alleged to have been 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, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as the result of such

If the legal guardian cannot be reached, I give permission to Berks Ballet Theatre Conservator of Dance to provide and/or seek medical attention for my child/children should medical treatment be required, and I will assume all costs of my own or my child/children’s medical bill(s). In addition, I grant Berks Ballet Theatre Conservatory of Dance. permission to utilize event photos, videos, and statements without compensation for advertising purposes.

I HAVE READ THE RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS CONTENTS/TERMS AND ASSUME SUCH RISKS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT / REGISTERING ONLINE AND HAVE SIGNED IT/ REGISTERED FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IN ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. I UNDERSTAND THAT ONCE THIS FORM IS SIGNED, I AM ALSO AGREEING WITH ALL POLICIES AND PROCEDURES OF BERKS BALLET THEATRE CONSERVATORY OF DANCE.