LIABILITY RELEASE
I, THE BELOW STUDENT OR PARENT/Guardian, HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS and all future Unity Dance Events. Including by way of example and not limitation, any risks that may arise from carelessness of Austin Burleson, Alexis Ziarkowski Burleson, staff, teachers, volunteers, Board members, Unity Dance Troupe, Unity Dance Studios or any other Unity Dance Troupe or Unity Dance Studios representative or affiliate, 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 the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems, such as diseases and or sicknesses which preclude my participation in this activity or event. I also agree that should a major sickness or disease develop I will be asked to vacate the premises until I am no longer sick or contagious. I agree to stay home and not attend class should I feel any symptoms of COVID-19 including but not limited to fever, cough, shortness of breath, or sore throat. I understand that a live-stream contract for my class(es) is available and that tuition will not be waived or refunded for missing class due to sickness. I acknowledge that this Accident Waiver and Release Form will be used by the Unity Dance Troupe and Unity Dance Studios event holders, sponsors, directors, staff, organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event. In consideration of my application and permitting me to participate in dance classes, rentals, events, productions, shows, dress rehearsals, fundraisers, Unity Dance Studio or Unity Dance Troupe outings, fundraisers, parties, etc. I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE the entities or persons, 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 event, THE FOLLOWING ENTITIES OR PERSONS: Alexis Ziarkowski Burleson and or Austin Burleson, and or any staff or teachers of Unity Dance Troupe, Unity Dance Studios and or Unity Dance Troupe’s Board.
(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in the above paragraph from any and all claims made as a result of participation in this activity or event.
I acknowledge that Unity Dance Troupe and Unity Dance Studios and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting all dance events coordinated by Alexis Ziarkowski Burleson, Austin Burleson, staff, or Unity Dance Troupe’s Board. I acknowledge that this event may involve the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event. I understand that at this event or related activities, I may be photographed and or videoed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by Unity Dance Troupe or Unity Dance Studios. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.