I hereby release, indemnify and hold harmless IndepenDANCE Studio, LLC, its owners, members, advisors, Board of Directors, and all employees and agents of these parties from all liabilities, suits, claims and/or demands of any kind or nature, legal or financial, whether caused in any way by the negligence or not, arising from the participation in or observation of any IndepenDANCE Studio, LLC activity for injuries to any person or property, whether on or off the premises. The student/participant named below does voluntarily participate in any and all IndepenDANCE Studio, LLC activities and that the student/participant and I understand that certain risks are inherent to and from participation and involvement with IndepenDANCE Studio, LLC and in its various formal and informal activities. These activities include but are not limited to dance. IndepenDANCE Studio, LLC is not responsible for any lost or stolen property, at any time. Anyone found to be violating any of the rules, codes of conduct, or found to be disruptive to either another individual or group may be asked to leave the premises or off-site location at any time and be refused reentrance without any full or partial refund.
As the parent/legal guardian of the student/participant named below, I request and authorize that in my absence the student/participant named below be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine/Osteopathy or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the student/participant named below. I have not been given any guarantee as to the results of examination or treatment. I hereby authorize IndepenDANCE Studio, LLC its owners, members, Board of Directors, and all employees and agents of these parties to act for the student/participant named below according to their best judgment in providing or arranging for emergency care in any emergency circumstance requiring medical attention. I authorize the hospital, medical or care facility to dispose of any specimen or tissue during the course of any diagnosis, treatment or other normal and customary procedures.
I hereby understand and am fully aware that the student/participant named below may be participating in IndepenDANCE Studio, LLC activities in which I and/or the student/participant named below may be photographed or videotaped (the Property) from time to time. I hereby irrevocably grant to IndepenDANCE Studio, LLC perpetually, exclusively, and for all media throughout the world (including print, non theatrical, home video, CD-ROM, internet and any other electronic medium presently in existence or invented in the future), the right to use and incorporate (alone or together with other materials), in whole or in part, photographs, sound bites or video footage taken as a result of participation in IndepenDANCE Studio, LLC activities. I hereby agree that I will not bring or consent to others bringing claim or action against IndepenDANCE Studio, LLC on the grounds that anything contained in the Property, or in the advertising and publicity used in connection herewith, is defamatory, reflects adversely on me or the student/ participant named below, violates any other right whatsoever, including, without limitation, rights of privacy and publicity. I hereby release IndepenDANCE Studio, LLC its owners, members, Board of Directors, and all employees and agents of these parties from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I may hereafter have against IndepenDANCE Studio, LLC in connection with the Property. This agreement shall not obligate IndepenDANCE Studio, LLC to use the Property or to use any of the rights granted hereunder, or to prepare, produce, exhibit, distribute or exploit the Property. IndepenDANCE Studio, LLC shall have the right to assign its rights hereunder, without my consent, in whole or in part, to any person, firm, corporation or organization.