Loading...

Vertical Art Dance

"Be Inspired To Get Vertical!"

 

ANNUAL PARTICIPANT AGREEMENT AND ASSUMPTION OF RISK

In consideration of the services of Vertical Art Dance their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “VAD”), I hereby agree to release, indemnify, and discharge VAD, its employees, vendors, service providers, affiliates, landlords, and facilities on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in Vertical Art Dance programs entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. 

The risks include, among other things: Slipping, tripping and falling; unexpected letting go; foot entrapment; prolonged inversion; hand and joint injuries; rope or fabric burns; deep bruises, discoloring of skin; bleeding cuticles, lack of circulation due to certain tie off methods; hair or scalp injuries; falling from height into ground or pads improperly resulting in certain head neck spine or other injures; pad related injures; unexpected or sudden physical contact with others; falling objects; exhaustion; exposure to temperature and weather extremes which could cause hypothermia, hyperthermia (cold or heat related illnesses), heat exhaustion, sunburn, dehydration; and exposure to potentially dangerous wild animals, insect bites, and hazardous plant life; equipment failure; and improper lifting or carrying. improper falling. 

Furthermore, VAD employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless VAD from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of VAD’s equipment or facilities, including any such claims which allege negligent acts or omissions of VAD.

4. Should VAD or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

6. In the event that I file a lawsuit against VAD, I agree to do so solely in the state of Nevada, and I further agree that the substantive law of Nevada shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against VAD on the basis of any claim from which I have released them herein. 

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Date: March 28, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Who should NOT participate in Aerial Arts Yoga/Fitness/Dance/Pole?

Are there any special restrictions or injuries we should know about? (torn muscles, dislocations, pregnancy, vertigo, etc.) If NONE please type "NONE" *
Who should NOT participate in Aerial Arts Yoga/Fitness/Dance/Pole?*
Photo Release
Students of Vertical Art Dance may have the opportunity to be photographed or video taped at various dance events. With permission these photos or videos may be included for Vertical Art Dance publications or advertisements, including on our websites. No financial compensation shall be given for use of any photographs or video. I acknowledge that Vertical Art Dance may choose not to use my photo or video at this time, but may do so at its own discretion at a later date. Vertical Art Dance reserves the right to discontinue use of photos or video without notice. I have read this release and I understand its contents. I consent to and authorize the use by Vertical Art Dance, or anyone authorized by Vertical Art Dance, of any and all photographs or video which have been taken of me/my child/children.*
Yes
No
In consideration of (print minor’s name) (“Minor”) being permitted by VAD to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless VAD from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!