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2024-2025 Zyia Active Jazz Dancer Auditions


In consideration for being allowed to participate in the 2024-25 Dancer Auditions

event hosted by the Zyia Active Jazz Dancers and related activities held at SMASH Dance Academy

(the “Event”), the undersigned: (a) acknowledge, fully understand and agree that the

Participant will be engaging in activities that involve risks of injury which might result

from willful or negligent actions or inactions of the Participant or of others, or the

conditions of the premises or of any equipment used, and that there may be other risks not

known or not reasonably foreseeable at this time; (b) assume all the aforementioned risk;

and (c) release, waive, discharge, covenant not to sue, indemnify and hold harmless Jazz

Basketball Investors LLC dba the Utah Jazz, SMASH Dance Academy, all sponsors and advertisers of the Event,

and all subsidiaries, affiliates, predecessors, assigns, present and former officers, owners,

shareholders, directors, agents and employees of each and every one of the aforesaid

entities and persons and the owners and lessees of premises used to conduct the Event

(each, a “Released Party”), from any and all liability to the undersigned, their heirs and

successors, for any and all claims, demands, losses or damages on account of any injury

or loss in any way related to the Event or the participant’s participation therein, including

physical injury (and death) and damage to property, caused or alleged to be caused in

whole or in party by any Released Party or otherwise.

The undersigned further grant full permission to the organizers, directors and

sponsors of the Event to record the Participant’s likeness and/or voice by any media

deemed appropriate, and to use the same in any manner, including publicity, advertising

or other commercial purposes, all without payment of any fee or other remuneration of

any kind to the undersigned.

First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
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.
Participant's 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(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*

Middle 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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