WAIVER OF LIABILITY, RELEASE, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
For and in consideration of _____________________________________________(PARTICIPANT) participation with Legacy Academy of Dance, LLC and PARTICIPANT’s being allowed to participate in Legacy Academy of Dance events, PARTICIPANT and PARTICIPANT’s parent(s) or legal guardian(s) on behalf of PARTICIPANT (if PARTICIPANT is a minor or has a legal guardian) relinquishes and waives any and all claims and causes of action against Legacy Academy of Dance, its Owners, Coaches, Staff, Camp Management, Directors, Affiliates, and Sponsors, for personal injury, illness, property damage, or wrongful death in connection with, relating to, or arising from any and all Legacy Academy of Dance events and activities, wherever and however such personal injuries, illness, property damage, or wrongful death occurs.
I fully understand that such activities can be HAZARDOUS, and involve known risks and unanticipated risks which could result in BODILY INJURY, ILLNESS, DEATH, DAMAGE OR LOSS to myself, my property, and to other third parties and their property, which may be caused by my own actions, or inactions, those of others participating in the Activities, the conditions in which the Activities take place, or the negligence of the “Releasees” named below; and I fully accept and ASSUME ALL SUCH RISKS and all responsibility for losses, costs, and damages I or any third parties incur as a result of my participation in the Activities.
To the best of his or her knowledge, PARTICIPANT acknowledges, understands, has full knowledge of, and assumes all risks inherent in each and all Legacy Academy of Dance activities and understands that such sports and activities involve risks to PARTICIPANT, including possible bodily injury, illness, partial or total disability, paralysis, death and other injuries and damages which may arise therefore
PARTICIPANT agrees that if any claims or causes of action relating to PARTICIPANT’s personal injury, illness, wrongful death or for property damage relating to or arising out of any Legacy Academy of Dance Activities is made or commenced against any RELEASEES, PARTICIPANT shall defend, indemnify and hold harmless such RELEASEES from such claims or causes of action and all damages and liabilities relating thereto, including reasonable attorneys’ fees and costs and expenses to defend.
I will be financially responsible for any medical attention needed during the event or activity or resulting from an injury received from the event or activity. My medical insurance shall be the insurance coverage for any medical treatment. I further understand that Legacy Academy of Dance retains the right to use, for publicity and advertising, photographs or videos of Legacy Academy of Dance participants during classes, camps, clinics, lessons, competitions, or special events.
PARTICIPANT ACKNOWLEDGES THAT HE OR SHE (A) HAS READ THE ABOVE PARAGRAPHS; (B) HAS NOT RELIED UPON ANY REPRESENTATIONS OF ANY RELEASEES WITHOUT REASONABLE VERIFICATION OR INQUIRY; (C) HAS, TO THE BEST OF HIS OR HER KNOWLEDGE AND TO HIS OR HER SATISFACTION, BEEN FULLY ADVISED OF THE RISKS AND POTENTIAL DANGERS OF Legacy Academy of Dance ACTIVITIES; AND (D) SIGNS THIS AGREEMENT VOLUNTARILY, UNDERSTANDING THAT THIS AGREEMENT IS NECESSARY IN ORDER FOR AMATEUR SPORTS EVENTS, SUCH AS THE Legacy Academy of Dance ACTIVITIES, TO EXIST IN THEIR PRESENT FORM.
Parent or Legal Guardian Signature (Acknowledgment of Waiver online serves as your signature)