Stags Dance and Tumbling Studio
Participant Agreement, Release of Liability & Waiver
400 Linden Ave. Ste. 311 Dayton, OH 45403 | 937.689.4332 | stagsdanceandgym@gmail.com
PLEASE READ THIS ENTIRE DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A LEGALLY BINDING AGREEMENT.
1. Assumption of Risk
I, the undersigned parent or legal guardian ("Guardian") of the above-named minor student ("Student"), acknowledge and understand that participation in dance, tumbling, acrobatics (acro), hip hop, cheerleading skills, and related physical activities at Stags Dance and Tumbling (the "Studio") involves inherent risks of physical injury. These risks include, but are not limited to:
Falls, trips, slips, and collisions with other participants or equipment
Muscle strains, sprains, fractures, dislocations, or other orthopedic injuries
Head, neck, and spinal injuries — including those that may result from tumbling, inversions, and aerial skills
Injuries resulting from participation in classes, open studio time, performances, showcases, competitions, or any other studio-sponsored event
Injuries resulting from the use of studio equipment, flooring, sprung floors, mats, props, or apparatus
Injuries caused by the actions or negligence of other participants
I, on my own behalf and on behalf of the Student, knowingly, voluntarily, and freely accept and assume all such risks, whether known or unknown, whether currently existing or arising in the future, in connection with the Student's participation in any and all Studio activities.
2. Release of Liability & Waiver
In consideration of the Student's participation in Studio activities, I hereby agree, to the fullest extent permitted by applicable law, to RELEASE, WAIVE, DISCHARGE, and COVENANT NOT TO SUE Stags Dance and Tumbling, its owners, directors, instructors, employees, contractors, agents, volunteers, successors, and assigns (collectively, "Released Parties") from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, or death — including those caused in whole or in part by the negligence of the Released Parties — that may be sustained by the Student or myself while participating in Studio activities or while on or near Studio premises or any affiliated event location.
This release and waiver includes, but is not limited to, claims arising from:
Ordinary negligence by instructors or Studio staff
Negligent supervision or instruction
Negligent maintenance of equipment or premises
Any other act or omission of any Released Party
IMPORTANT OHIO LAW NOTICE: This waiver is intended to comply with Ohio law. However, this waiver does not apply to claims arising from gross negligence, willful or wanton misconduct, or intentional acts. Nothing in this waiver is intended to waive rights that cannot be waived under applicable law.
3. Indemnification & Hold Harmless
I agree to INDEMNIFY, DEFEND, and HOLD HARMLESS the Released Parties from and against any and all claims, damages, losses, costs, and expenses (including reasonable attorney's fees) arising out of or resulting from: (a) the Student's participation in Studio activities; (b) any breach by me or the Student of this Agreement; or (c) any injury to a third party caused by the Student's actions during Studio activities.
4. Medical Authorization & Emergency Treatment
I represent that the Student is physically fit and able to safely participate in the classes and activities for which they are enrolled. I have disclosed any known medical conditions, physical limitations, injuries, or health concerns to the Studio in writing.
In the event the Student requires emergency medical attention and I cannot be reached immediately, I hereby authorize the Released Parties to: (a) call emergency medical services (911); (b) consent to emergency medical treatment as deemed necessary by healthcare providers; and (c) take whatever action is reasonably necessary to protect the health and safety of the Student.
I agree to assume financial responsibility for any emergency medical care provided. I further waive, release, and hold harmless the Released Parties from any liability arising from administering or failing to administer medical assistance.
Known Medical Conditions / Allergies / Medications: ________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________
5. Photo & Media Release
Please indicate your preference below (one selection required):
☐ CONSENT: I grant Stags Dance and Tumbling and its Released Parties the right to photograph and/or video record the Student in connection with Studio activities, and to use such images and recordings for marketing, social media, website, and promotional materials — without compensation.
☐ OPT OUT: I do NOT consent to the use of the Student's image or likeness in Studio marketing or promotional materials.
6. Severability & Governing Law
If any provision of this Agreement is found to be invalid or unenforceable under applicable law, the remaining provisions shall continue in full force and effect. The parties agree that the invalid provision shall be modified to the minimum extent necessary to make it enforceable.
This Agreement shall be governed by and construed in accordance with the laws of the State of Ohio. Any dispute arising under this Agreement shall be brought exclusively in the courts of Montgomery County, Ohio.
7. Acknowledgment of Agreement
I, the undersigned, represent and certify that:
I am the parent or legal guardian of the above-named Student and have full authority to execute this Agreement on the Student's behalf.
I am 18 years of age or older.
I have read this entire Agreement carefully and understand its terms.
I have had the opportunity to seek independent legal advice before signing.
I am signing this Agreement freely and voluntarily, without duress or inducement.
I understand that by signing, I am giving up substantial legal rights on behalf of myself and the Student.
This Agreement shall remain in effect for all Studio activities attended by the Student from the date of signing, for the duration of enrollment, and for any future enrollment periods unless revoked in writing.
SIGNATURES
Parent / Guardian — Printed Name
Date
Parent / Guardian — Signature
Date