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Waiver for participation at the 2022 Philadelphia Regional AYCO Festival

AYCO RELEASE/INDEMNIFICATION FORM

No one may participate in the festival without signing this form. Forms for participants under age 18 must be signed by a parent or guardian.

PLEASE READ CAREFULLY BEFORE SIGNING:
I hereby warrant that I am in good health and capable of the physical demands of training and performing in the 2022 Philadelphia Regional AYCO Festival. I realize and am fully aware that training, rehearsal, and performance in acircus arts program (herein after, "Program") can expose participant to physical risks and hereby agree that I assume all risk of injury or loss resulting from participation in said Program. I do hereby agree to release, hold harmless, and forever discharge The American Youth Circus Organization (AYCO), AYCO's Board of Directors, Bindlestiff Family Variety Arts, Inc., Circus Warehouse, and their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (referred to collectively hereafter as THE PRODUCERS), and any other person officially connected with said Program or their respective heirs, legal representatives or assigns of and from any and all claims, demands, liability, right or causes of action of whatsoever kind of nature including, but not limited to, claims for negligence arising from or in any way connected with, or related to, any injuries, losses, damages, disability, suffering, property damage or loss, or results thereof, which I may sustain as a result of my involvement in the Program. I further agree that in the event any suit is brought by or on my behalf to recover damages for any claim covered by this release, I will indemnify THE PRODUCERS, respective heirs, legal representatives or assigns for all losses and costs associated with any such lawsuit including, but not limited to, any damages awarded and reasonable attorneys fees and costs incurred. As a participant in the 2022 Philadelphia Regional AYCO Festival, I understand that the above paragraphs constitute covenant and a promise on my part to fully discharge the above parties from any and all liability for the injuries or the loss resulting from my involvement in the Program of 2022 Philadelphia Regional AYCO Festival. I understand that this is a binding contract and that mysignature is required in order to participate in the 2022 Philadelphia Regional AYCO Festival.

In the event that I file a lawsuit against the Producers, I agree to do so solely in the state of New York, 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.

THIS IS A RELEASE OF LIABILITY. I HAVE READ THIS RELEASE, AND I SIGN IT VOLUNTARILY.

AYCO MEDIA RELEASE FORM

No one may participate in the festival without signing this form. Forms for participants under age 18 must be signed by a parent or guardian.

PLEASE READ CAREFULLY BEFORE SIGNING:

Media, including without limitation radio, print, Internet, and television outlets (hereinafter, Media), have been invited to the 2022 Philadelphia Regional AYCO Festival. As non-profit performing arts organizations, it is vital to the continuation of our programs that we promote our activities through such Media. Additionally, we may record, including without limitation video, still photography, and audio, for our own purposes, including without limitation training, rehearsal and performance of the Program and by signing this release, I grant permission for me/my child/my ward (hereinafter, Participant) to be interviewed, audiotaped, videotaped, and/or photographed (hereinafter, Recordings) in conjunction with any and all of Participants activities in association with the Program of the 2022 Philadelphia Regional AYCO Festival. In the event the Producers have editorial control of the Recordings I hereby release the Producers from any claims, including driot moral, related to the distribution or publication of the Recordings, my name, voice, likeness or biography. I understand that Media may use the Recordings as they deem appropriate and Producers may not have final say over whether or how the Recordings or Participants names and/or likenesses are edited, printed, broadcast, aired or used in any way.

I understand and agree that I shall have no right, title, or interest, including copyright, in the product of any such Recordings, and that all material created during or arising out of Participants participation in the 2022 Philadelphia Regional AYCO Festival (hereinafter, Program Material), the copyright therein, and all renewals, extensions or reversions of copyright now or hereafter provided, shall automatically become the property of The Producers, and you shall be deemed the author thereof, it being agreed and acknowledged that all of the results and proceeds of Participants activities hereunder shall be deemed a "work made for hire" within the meaning of the 1976 Copyright Act in exchange for participation in the Program. Participant hereby expressly waives and relinquishes any moral rights or "droit morale" in and to any material created by or contributed to the Media or The Producers including all of Participants performance in the 2022 Philadelphia Regional AYCO Festival and in the Recordings. I understand and agree that the The Producers and/or their authorized agents shall have the unlimited right to use the Recordings for any purposes. The use of such recordings will be without any compensation to the participant or to the participants parent or guardian.

I hereby release and hold harmless The Producers from any and all actions, claims, damages, costs, or expenses, including attorneys fees, brought by the Participant that relates to or arises out of any use of these Recordings.

I HAVE READ THIS MEDIA RELEASE, AND I SIGN IT VOLUNTARILY.

Philadelphia School of Circus Arts Liability Waiver

In consideration of the services of Philadelphia School of Circus Arts, 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 "PSCA"), I hereby agree to release, indemnify, and discharge PSCA, 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 circus arts training and instruction, including aerial arts, trapeze, and other various disciplines 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; the negligence of other participants, or other persons who may be present; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with this activity. Traveling to and from shows, meets and exhibitions raises the possibility of any manner of transportation accidents. In any event, if your child is injured, your child may require medical assistance, at your own expense. Furthermore, Philadelphia School of Circus Arts 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 Philadelphia School of Circus Arts 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 Philadelphia School of Circus Arts's equipment or facilities, including any such claims which allege negligent acts or omissions of Philadelphia School of Circus Arts. 

4. Should Philadelphia School of Circus Arts 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 Philadelphia School of Circus Arts, I agree to do so solely in the state of Pennsylvania, 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. By checking the signing, 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 Philadelphia School of Circus Arts on the basis of any claim from which I have released them herein.

PSCA Safety First Agreement

The Safety First Agreement is between Philadelphia School of Circus Arts and Participant and/or their parent(s)/legal guardian(s).  Each time you are coming onto Circus Campus, you agree to the following:

To the best of my knowledge, I (on behalf of myself or my child) am fully aware of PSCA’s safety procedures that are in place to prevent the spread of COVID-19 and will follow those procedures, including:

I Agree
Those 18 years & up in the adult program provide proof to the office of being fully vaccinated.
I Agree
Wearing a cloth face covering at all times while in the building, and only removing it if absolutely necessary. If I need to remove my mask I will only do so when socially distanced from other people.
I Agree
Have not shown symptoms of COVID-19 in the past 10 days. According to the Center for Disease Control, symptoms include:

  • Cough
  • Shortness of breath of difficulty breathing
  • Fever
  • Chills
  • Repeated shaking with chills
  • Muscle pain (unrelated to physical activity)
  • Headache
  • Sore Throat
  • New loss of taste or smell
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

I Agree
This list does not contain all possible symptoms, but please play it safe and STAY HOME if you exhibit these or any other unusual symptoms.
I Agree
Have not been in contact with anyone who has tested positive or shown symptoms of COVID-19 in the past 14 days.
I Agree
Understand that I could be a carrier of COVID-19 and be asymptomatic.
I Agree
Understand that I could contract COVID-19 from an asymptomatic person or by touching a contaminated surface while at PSCA.
I Agree
Understand that willful disregard of safety procedures may result in my being asked to leave the campus, and that I will not be entitled to a refund or account credit.
I Agree
Agree to inform the school immediately if I develop symptoms, or if I learn I have been in direct contact with someone who has tested positive for COVID-19.

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.

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*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

Email
A signed copy of this waiver will be sent to the email address you provide.
Date

Date *
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.
Parent or Guardian's Name

First Name*

Last Name*

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.


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