I, _______________________, HEREBY ASSUME ALL OF THE
RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED
WITH ______Bull City Music School___________________________________________,
including by way of example and not limitation, any risks that may
arise from negligence or carelessness on the part of the persons or
entities being released, from dangerous or defective equipment or
property owned, maintained, or controlled by them, or because of
their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained
for participation in this activity, and have not been advised to not
participate by a qualified medical professional. I certify that there are
no health-related reasons or problems which preclude my
participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability
Form will be used by the event holders, sponsors, and organizers of
the activity in which I may participate, and that it will govern my
actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in
this activity, I hereby take action for myself, my executors,
administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability,
including but not limited to, liability arising from the negligence or fault
of the entities or persons released, for my death, disability, personal
injury, property damage, property theft, or actions of any kind which
may hereafter occur to me including my traveling to and from this
activity, THE FOLLOWING ENTITIES OR PERSONS:
________Bull City Music School______________________________________________
and/or their directors, officers, employees, volunteers,
representatives, and agents, and the activity holders, sponsors, and
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE
the entities or persons mentioned in this paragraph from any and all
liabilities or claims made as a result of participation in this activity,
whether caused by the negligence of release or otherwise.
I acknowledge that they are NOT responsible for the errors,
omissions, acts, or failures to act of any party or entity conducting a
specific activity on their behalf.