Studio Waiver
Apr 03, 2026 01:55 PM
4 Star Dance Studio
WAIVER OF LIABILITY, HOLD HARMLESS AND USE OF IMAGE AGREEMENT
1. In consideration of 4Star Dance Studio providing the opportunity for and permitting the undersigned (Participant) to participate and take part in the Dance Company and its related activities, the undersigned Participant and Parent, if applicable, of the Participant, do hereby release, remise and forever discharge, indemnify and agree to HOLD HARMLESS WAIVE, DISCHARGE, and COVENANT NOT TO SUE 4Star Dance Studio, their officers, employees, faculty, instructors, servants, agents and assigns, hereinafter referred to as RELEASEES, from any claim, demand or cause of action whether now in existence, or hereafter arising for any loss of personal property, injury to the Participant or for the death of the Participant, arising out of resulting from, caused by or contributed to in whole or in any part by any action or failure to act, negligence, breach of contract, or other misconduct on the part of 4Star Dance Studio, its officers, faculty, agents, servants, employees, (RELEASEES) any other Participant in said workshop, any participating parent and/or any one or more of any thereof.
2. We recognize and acknowledge that certain risks of harm are or may be inherent in the various activities contemplated herein and that 4Star Dance Studio or RELEASEES cannot control all of these risks. We are aware that dance training and the exercises associated with it place unusual stress on the body and carry with them the risk of physical injury. I/We assume the risks involved. I/We also understand that dance instruction involves kinetic correction that may include physically touching the student (Participant) as part of the regular class work and/or rehearsal. I/We assume the risk and agree that 4Star Dance Studio faculty have permission to engage in appropriate kinetic correction of the body for technical corrective purposes as part of regular class work and rehearsal.
3. It is my/our express intent that this Release and Hold Harmless Agreement shall bind the members of my/our family if I am alive, and my heirs, assigns and personal representative, if I am not alive. It shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above named RELEASEES.
4. I UNDERSTAND THAT 4STAR DANCE STUDIO WILL NOT BE RESPONSIBLE FOR ANY MEDICAL COSTS ASSOCIATED WITH ANY INJURY THAT I, MY CHILD, OR SPECTATOR GUESTS THAT WE INVITE, MAY SUSTAIN.
5. I/We also understand that I/we should and am/are urged by RELEASEES to obtain health and accident insurance to cover any personal injury to me/my child (Participant), which may be sustained. I/We agree that I or my child (Participant) will adhere to the Rules and Regulations promulgated by 4Star Dance Studio, and obey all local, state and federal laws while participating in this activity.
6. Upon execution of this agreement, the Undersigned also releases ownership and authorizes the use of his or her likeness and image, either in print media format or video in perpetuity for the promotion of the above named RELEASEES.
IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I/we have read the foregoing Waiver of Liability, Hold Harmless and Use of Image Agreement, understand it, and sign it voluntarily as my/I own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent or, if I am under eighteen(18) years of age, my parent or legal guardian’s approval and signature has been obtained; and I/we execute this Release for full, adequate, and complete consideration fully intending to be bound by the same.
If I am under the age of eighteen, I have read, understood, and discussed with my parent or guardian identified below, and we hereby accept the terms and conditions stated in this WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT.
_____________________________________--______ Participant Signature Age
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___________________________________________ Parent/Guardian Signature
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