Release of Liability and Assumption of Risk
ACTIVITY DESCRIPTION: DANCE and ACRO includes but not limited to jumping, turning, tumbling, partner work, that are conducted in a competition, camp, workshop, clinic, class or team practice setting.
By acknowledging this waiver I agree that my child has my permission to participate in any provided activities and services of Doty Performance LLC (hereinafter “Doty Performanceâ€), their agents, owners, members, officers, volunteers, participants, employees and all other persons or entities acting in any capacity on their behalf, including businesses, sub-lessors, agencies, and vendors. The above name athlete(s), as well as myself as the legal guardian, agree to abide by all rules, policies, and guidelines set forth by Doty Performance including, but not limited to, the Doty Performance Studio policies and Doty Performance Billing Policies.
I certify that the dancer has passed a physical exam in the past eighteen months and is in good physical condition and currently under no restrictions with regard to physical activity.
I further acknowledge and understand that athlete and guardian are assuming the risk of illness or injury through athlete’s participation. I assume all risks and hazards incidental to such participation including transportation to and from activities. I HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Doty Performance, their owners, agents, members, officers, volunteers, participants, employees and all other persons or entities acting in any capacity on their behalf, WITH RESPECT TO INJURY, DISABILITY, OR DEATH, or loss or damage to person or property WHETHER ARISING FROM NEGLIGENCE OR OTHERWISE, to the fullest extent permitted by law.
In the event of an emergency, accident or illness, I authorize Doty Performance and its employees to administer emergency medical care to my child and/or, if deemed necessary, to secure emergency medical transport and services. Any expenses incurred as a result are my responsibility and not that of Doty Performance. I understand that Doty Performance employees and volunteers are not trained medical professionals and shall hold harmless Doty Performance and its staff for any injury resulting from the rendering of temporary, immediate, or basic first aid.
I understand that family members, friends and spectators associated with this student are required to remain in the designated viewing area while in the studio and should never attempt any moves taught in class. In regards to family, friends and spectators, I ALSO HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Doty Performance, their owners, agents, members, officers, volunteers, participants, employees and all other persons or entities acting in any capacity on their behalf, WITH RESPECT TO INJURY, DISABILITY, OR DEATH, or loss or damage to person or property WHETHER ARISING FROM NEGLIGENCE OR OTHERWISE, to the fullest extent permitted by law.
I further grant permission to Doty Performance the unrestricted right and permission to copyright, publish and use photos, videos or audio recordings of me or my athlete, made in association with my participation in Doty Performance for any use including, but not limited to publications, art, advertisements or promotions.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily. The venue of any dispute that may arise out of this agreement or otherwise between the parties to which Doty Performance or its agents is a party shall be the Circuit Court of the State of Oregon of Washington County, Oregon. This is to certify that I, as the parent/guardian with legal responsibility for this participant student who is a minor, do consent and agree to his/her release and other terms and conditions named in this document.