Waiver 2019


Feb 17, 2020 02:02 AM



RELEASE OF LIABILITY/INDEMNITY/EMERGENCY TREATMENT FORM
dancer/student/camper/intern/staff/volunteer/participant

I, participant, for myself, my personal representatives, assigns, heirs, and next of kin, in consideration for the opportunity to be a dancer/student/camper/volunteer at the programs of Blu’s Dance Studio LLC also known as BDS, acknowledge, agree and represent as follows:

1. I fully understand that attending the studio as a participant will involve activities such as, but not limited to, a loud environment, self-defense, active group games, using electrical equipment such as amplifiers, speakers, and/or musical instruments, moving heavy equipment and objects,dancing, and breakdancing (hereinafter “ Activities”). I understand that BDS Activities may pose risks of bodily injury due to the inherent nature of each activity. I fully understand the risks and dangers associated with participation in BDS Activities, that the risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in BDS Activities, or the condition in which the BDS Activities take place. I also fully understand that there may be other risks and social and economic losses either not known to me or readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in BDS Activities and assume all risks and responsibilities surrounding my participation in these activities._______

2. I agree and warrant that I will examine and inspect each BDS Activity in which I take part, and if I observe any conditions that I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the BDS Activity and will refuse to take part in the BDS Activity until the condition has been corrected to my satisfaction. ______

3. I hereby RELEASE, discharge, and covenant not to sue the Blu’s Dance Studio LLC, its administrators, directors, agents, officers, volunteers, successors, assigns, employees, sponsors, advertisers, and if applicable, owners and lessors of premises where BDS Activities may occur (each considered one of the Releasees herein), from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise; and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf makes a claim, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS at my own expense each of the Releasees from any claims, suits, or actions of any nature, including attorney fees and costs, which are in any way connected with participation in any and all BDS Activities. I understand that this Release of Liability/Indemnity/Emergency Treatment form binds my family, heirs, executors, administrators, and assigns, as well as myself. ______

4. In case of emergency, accident, illness, or other incapacity occurring while under the BDS authority, I give my permission to be treated by medical professionals and admitted to the hospital if necessary. This authorization applies whether or not the charges are covered by my insurance, and I am responsible for all reasonable medical and emergency expenses incurred on my behalf, regardless of whether I would have authorized such expenses under separate circumstances. _______

5. I agree that I will follow all BDS rules and will remain within the parameter of BDS Activities at all times._______

6. I have read this agreement, fully understand its terms, 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, intend it to be a complete and unconditional release of all liability to the greatest extent 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. ______











Blu’s Dance Studio LLC
MEDIA RELEASE FORM
dance/student/camper/intern/staff/volunteer/participant

For all Blu’s Dance Studio media, including but not limited to footage, videos, audio recording, promotional pieces, documentaries, dvds, and photographs:

For the duration of my time participating in Blu’s Dance Studio programs, activities, events, Showcases, etc, I authorize Blu’s Dance Studio staff/volunteers to record and edit into the program(s) stated above, my name, likeness, voice, interview, and performance. Blu’s Dance Studio shall own all rights, title( s), and interest(s) in and to the program(s), including the recording(s), to be used and disposed of at the discretion of the Blu’s Dance Studio LLC

Further,I authorize the Blu’s Dance Studio to share the above media with the Blu’s Dance Studio operations/non profit for their promotional purposes.