In exchange for participation in the activity of dance and/or fitness organized by Gummybarre LLC, of 520 E Jackson St, Suite 6, Willard, MO, 65781 and/or use of the property, facilities and services of Gummybarre LLC, I agree for myself and (if applicable) for the members of my family, to the following:
AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Gummybare LLC, or the employees, representatives or agents of Gummybarre LLC.
ASSUMPTIONS OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Gummybarre LLC for injury, loss or damage arising out of my or my family’s use of or presence upon the facilities of Gummybarre LLC, whether caused by the fault of myself, my family, Gummybarre LLC or other third parties.
INDEMNIFICATION. I agree to indemnify and defend Gummybarre LLC against all claims, causes of action, damages, judgements, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities of Gummybarre LLC.
FEES. I agree to pay for all damages to the facilities of Gummybarre LLC caused by any negligent, reckless, or willful actions by me or my family.
CONSENT. I consent to the participation of the minor(s) listed on this account, now or in the future, in the activity of dance and/or fitness, and agree on behalf of the above minor(s) to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of the minor(s) listed on this account.
MEDICAL AUTHORIZATION. In the event of an injury to the minor(s) listed on this account during the above described activities, I give my permission to Gummybarre LLC or to the employees, representatives or agents of Gummybarre LLC to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on the date this Agreement is accepted and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed. Gummybarre LLC shall have the following powers:
The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;
The power to authorize medical treatment or medical procedures in an emergency situation; and
The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.
APPLICABLE LAW. Any Legal or equitable claim that may arise from participation in the above shall be resolved under Missouri Law.
NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Gummybarre LLC has offered to refund any fees I have paid to use it’s facilities if I choose not to sign this Agreement.
ARM’s LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm’s length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application for any legal or equitable rule of interpretation which would lead to a construction either “for†or “against†a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.
ENFORCEABILITY. The invalidity or unenforceability for any provision of this Agreement, whether standing alone or as applied to a particular occurence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provisions, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.
DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.
Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation does not successfully resolve the dispute, then the parties may proceed to seek an alternative form of resolution in accordance with any other rights and remedies afforded to them by law.
BY ACCEPTING, I CONFIRM THAT I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.