Loading...

LA Dance Space Liability Waiver, Photo Release, and Studio Handbook Agreement

LA Dance Space, L.L.C.

35055 LA-16, Ste. 2-F Denham Springs, LA, 70706

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

1. In consideration for receiving permission to participate in the various activities associated with dancing(including leaps/jumps, turns, kicks, extensions, tricks/tumbling, partner work, conditioning exercises, stretches, strength/stamina/flexibility exercises), I,

 hereinafter referred to as “Participant”, hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE LA Dance Space, L.L.C., their officers, agents, or employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in such activity, while in, on or upon the premises where the activities are being conducted, REGARDLESS OF WHETHER SUCH LOSS IS CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law.

2. I am fully aware of the risks and hazards connected with the activities of dancing(including leaps/jumps, turns, kicks, extensions, tricks/tumbling, partner work, conditioning exercises, stretches, strength/stamina/flexibility exercises), and I am aware that such activities include the risk of injury and even death, and I hereby elect to voluntarily participate in said activities, knowing that the activities may be hazardous to my property and me. I understand that LA Dance Space, L.L.C., does not assume responsibility for any loss, property damage, or injury/death resulting from my voluntary participation in these activities. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise, to the fullest extent allowed by law.

3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage, or costs, including court costs and attorneys' fees that Releasees may incur due to my participation in said activities, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise, to the fullest extent allowed by law.

4. It is my express intent that this Waiver and Hold Harmless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Louisiana and that any mediation, suit, or other proceeding must be filed or entered into only in Louisiana and the federal or state courts of Louisiana. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions.page1image21135776

IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Wavier of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my 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; I have authority to sign on Participant’s behalf and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.

LA Dance Space, L.L.C.

35055 LA-16, Ste. 2-F Denham Springs, LA, 70706

CONSENT TO PHOTOGRAPH AND

CONSENT TO USE OF PHOTOGRAPH FOR SPECIFIED PURPOSES

I,

hereinafter referred to as “Participant”, do hereby acknowledge that LA Dance Space, L.L.C., may take Participant’s photograph from time to time, that LA Dance Space, L.L.C., may wish to use Participant’s photograph for promotional and marketing purposes. I hereby acknowledge that said photographs may be posted on social media, including, but not limited to, the following: Facebook, Instagram, Twitter(“X”), TikTok, or any other social media site utilized by LA Dance Space, L.L.C. Participant’s photos will not be sold to any person or entity.

I have read and understand the foregoing paragraph. Having read the foregoing paragraph, I give the following consent to use Participant’s photograph in connection with same: (please select one in the question portion of this waiver)

  1. I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
  2. I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
  3. I do not consent to Participant’s photograph being taken or used in any form.

I hereby release, waive, discharge, and covenant not to sue LA Dance Space, L.L.C., their officers, agents, or employees from any and all liability arising out of my voluntary decision selected in the foregoing paragraph. I further hold harmless and indemnify LA Dance Space, L.L.C., their officers, agents, or employees from any loss, liability, or damage, arising out of my voluntary decision selected in the foregoing paragraph.

IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Consent to Photograph and Consent to Use Photograph for Specified Purposes, understand it and sign it voluntarily as my 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; I have authority to sign on Participant’s behalf and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.

LA Dance Space, L.L.C.

35055 LA-16, Ste. 2-F Denham Springs, LA, 70706

STUDIO HANDBOOK AGREEMENT

I,

agree to the terms, conditions, policies, and payment amounts/ payment schedules outlined in the LA Dance Space studio handbook that has been presented to me.

I understand that failure to comply with the LA Dance Space policies and procedures can result in additional fines and/or in my student’s dismissal from the studio.

I understand that credit/debit cards, cash, and check will all be accepted forms of payment. Should I choose to use a credit/debit card, a 3% fee will be added to all payments. Should I choose to pay via cash or check, the 3% fee will be waived. I understand that storing a credit/debit card on file is required and I authorize LA Dance Space to charge my card for any balances and/or applicable fees remaining on my account. If I fail to pay my balances timely (regardless of my preferred payment method), my card on file may be charged to collect any and all unpaid balances. I understand that absolutely NO refunds will be given under any circumstances.

I understand that the deadline to drop any and all classes is January 1st, 2025. If my family drops beyond the deadline, I am responsible for paying the remaining tuition, fees, balances, and payments for the remainder of the dance year (through May 2025). If I drop prior to this deadline, I will not be responsible for the remaining fees/tuition, however any and all payments previously made will NOT be refunded and I will forfeit that money.

I understand that LA Dance Space’s primary goal is to teach, support, and encourage my child. I also acknowledge that the studio has these regulations in place with my student’s best interest in mind.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Photo Release
Photo Release - Please select ONE*
I consent to Participant’s photograph, including Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I consent to Participant's photograph, but not of Participant’s face, being taken by LA Dance Space, L.L.C., and I also consent to Participant’s photograph being used as specified in the foregoing paragraph.
I do not consent to Participant’s photograph being taken or used in any form.
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!