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PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of BANDALOOP, Inc, 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 "BANDALOOP"),  I  hereby agree to release,  indemnify, and  discharge  BANDALOOP, 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 aerial arts training and instruction activities 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: slips and falls; falling from equipment; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening hazards; strains, cuts, bruises, muscle soreness and fractures; musculoskeletal injuries including head, neck, and back; injuries to internal organs; the negligence  of other  people;  my own physical  condition;  and the risk  of emotional  and psychological  injuries  or physical  damage associated with this activity.  Traveling to and from shows, workshops, classes, meets and exhibitions will raise the possibility of any manner of transportation accidents. In any event, if you or your child is injured, any medical assistance will be at your own expense.

 

Furthermore, BANDALOOP 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  BANDALOOP 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  BANDALOOP's equipment or facilities, including any such claims which allege negligent acts or omissions of BANDALOOP.

4.    Should BANDALOOP 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 BANDALOOP,  I  agree to do so solely in  the state of California,  and  I  further agree that  the substantive law of that state 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.

7.    I hereby give BANDALOOP the irrevocable right to use my name, picture, photograph, portraits, visual likeness, or voice in all forms and media in all manners, including photo, film, audio and video representations, for non-profit, public purposes, and I hereby waive any right to inspect or approve the finished product that may be created in connection therewith.

 

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 BANDALOOP 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.

December 13, 2018

First Participant Name

First Name*

Last Name*
First Participant Date of Birth*
First Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
First Participant Signature*
Second Participant Name

First Name*

Last Name*
Second Participant Date of Birth*
Second Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Third Participant Name

First Name*

Last Name*
Third Participant Date of Birth*
Third Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Fourth Participant Name

First Name*

Last Name*
Fourth Participant Date of Birth*
Fourth Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Fifth Participant Name

First Name*

Last Name*
Fifth Participant Date of Birth*
Fifth Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Sixth Participant Name

First Name*

Last Name*
Sixth Participant Date of Birth*
Sixth Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Seventh Participant Name

First Name*

Last Name*
Seventh Participant Date of Birth*
Seventh Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Eighth Participant Name

First Name*

Last Name*
Eighth Participant Date of Birth*
Eighth Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Ninth Participant Name

First Name*

Last Name*
Ninth Participant Date of Birth*
Ninth Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Tenth Participant Name

First Name*

Last Name*
Tenth Participant Date of Birth*
Tenth Participant Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
Participant Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
In consideration of ("Minor") being permitted by BANDALOOP to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless BANDALOOP 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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Indicate which education program you or your minor are participating in. *

If participant is under the age of 18, indicate full name.
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.


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