M2 Dance Company Liability Form
Dec 03, 2024 11:42 AM
M2 Dance Company Liability Form
Box 267
Hughenden, Alberta
T0B 2E0
Assumption of Risk & Release of Liability
In consideration of being allowed to participate in any way in the M2 Dance Company, related events and activities, I (being said participant and/or parent or legal guardian with legal responsibility for this participant of minority age) acknowledge, appreciate and agree that:
1. The risk of injury from the activities in this program is significant, and while particular rules, equipment, and personal discipline may reduce this risk, the risk for serious injury does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or other, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation.
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS M2 Dance Company, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and , if applicable, owners and lessors or premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss of damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
Video and Photo
I give M2 Dance Company my permission for the public display of pictures and/or video of myself and family members registered in classes, for possible advertisement purposes (ex. brochures, newspaper ads, web sites, etc). Names may be used.
Medical Emergencies
I give M2 Dance Company and its owners and operators my permission to seek medical treatment for myself or the student listed above in the event they are not able to reach a parent/guardian. In the fields above, I have declared any physical/mental health concerns, restrictions, or conditions and/or declare that I/the participant to be in good physical and mental health.
BY READING THIS YOU HAVE AGREED AND UNDERSTAND THE ABOVE POLICIES AND PROCEDURES OUTLINED IN THE ABOVE LIABILITY FORM. I ACCEPT THESE TERMS AND CONDITIONS.