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PARTICIPANT WAIVER
ONE RHYTHM DANCE CONVENTION
ACCEPTANCE OF RISK WAIVER AND RELEASE OF LIABILITY
REFUND AND CANCELLATION POLICY AND APPEARANCE AGREEMENT
This form must be filled out by each participant (Parent or legal guardian if under 18).
This includes all Minis, Juniors, and Seniors.

I, the undersigned, represent, acknowledge and accept that participation in the activities for which the Participant is registered includes strenuous physical activity and involves foreseeable risks of serious injury (including paralysis and even death) with or without the negligence of others. Participant, on his or her behalf, and the parent/guardians, on behalf of Minor Participant as well as on their own behalf, unequivocally agree to incur and assume such risks as a condition to participation in the activities for which Participant is registered.
In order to induce One Rhythm Dance Convention to register Participant in One Rhythm Dance Convention regional events and in partial consideration for Participant’s opportunity to participate, the Participant (and the Minor Participant’s parents/guardians on behalf of Minor Participant and on their own behalf) hereby waive all claims (past, present or future), release and discharge, covenant not to sue, and agree to indemnify and hold harmless One Rhythm Dance Convention (as well as its officers, employees and agents) and the hosting site on whose premises the event will be held (hereinafter collectively “Releasees”) from any and all liability, loss, cost, expense, claims, demands, actions, judgments and executions which the undersigned ever had, now has, or which the undersigned may have in the future, for personal injuries, known or unknown, and damage to property (real or personal) in any way caused by, related to, or arising out of, directly or indirectly, the activity for which Participant is registered or in which Participant is permitted to engage. In the event of illness or injury, I authorize One Rhythm Dance Convention to obtain necessary medical treatment for the Participant and hereby, in my own behalf and on behalf of the Participant, release and hold harmless all Releasees. The undersigned represents and agrees that this waiver and release is binding not only on the undersigned, but also upon their respective heirs, representatives, administrators, executors, and assigns. This release covers every possible injury or accident of every sort and nature, whether related to the permitted activity, the equipment, the condition of the premises, or otherwise, and regardless of whether due in whole or in part to the negligence of a releasee or other Participant.
In addition, if any anyone (whether a Participant, Minor Participant’s parent/guardian, or anyone else on behalf of a Participant or parent/guardian) makes a claim against any of the Releasees despite their release, then the undersigned agree to indemnify and hold harmless, each of the Releasees from any litigation expenses, attorney fees, loss,
liability, damages or cost any releasee may incur as the result of any such claim.
This contract shall be governed and construed in accordance with the laws of Arizona, excluding that State’s choice- of-law principles, and all claims relating to or arising out of this contract, or the breach thereof, whether sounding in contract, tort or otherwise, shall likewise be governed by the laws of Arizona, excluding that State’s choice-of-law principles.
The undersigned represent that the Participant is healthy and has no physical or mental condition that would impair Participant’s ability to fully and safely participate in the contemplated activity.
A Chaperone/Adult (age 21 or older) is required to attend with participants. This Chaperone will be responsible for the
participants at all times. One Rhythm Dance Convention is not responsible for participants' supervision.
I, the undersigned, represent, acknowledge and accept that there are no refunds on any fees, for any reason, other than the event being canceled by One Rhythm Dance Convention. I also understand that all checks returned from financial institutions will incur an additional $35 charge. All credit card reversals will incur an additional 2.5% charge of the original transaction. If outstanding invoices are sent to an outside collections agency the invoiced will incur penalties up to 25% of the original invoice or the maximum permitted by state law. Future payment will only be accepted by cashier's check or money order.
I understand that One Rhythm Dance Convention, from time to time produces promotional and other materials relating to its programs. I understand that as a participant in and/or a spectator at the Event the Participant may be included in videotapes, DVDs, podcasts, videocasts and/or photographs taken during the Event. Therefore, without reservation or limitations, I, in my own behalf and on behalf of the Minor Participant, hereby assign, transfer and grant to One Rhythm Dance Convention, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and/or videotape the Minor Participant and to utilize such videotapes and photographs and Participant’s name, face, likeness, voice and appearance as part of the Event, in advertising and promoting the Event or in advertising and promoting future events, and for sale for any and all purposes. I further understand that neither One Rhythm Dance Convention nor any third party is under and obligation to exercise any of the foregoing rights, licenses and privileges. The intent of this document is to relieve the Releasees to the fullest extent permitted by law of any responsibility or liability for injury or damage arising out of the contemplated activity. As a consequence, if any term or condition in this document is determined by any court of competent jurisdiction to be overbroad or otherwise unenforceable for any reason, then the undersigned stipulate and agree not only that the remainder should be enforced, but also that the otherwise unenforceable term should be reformed and enforced to the fullest extent permitted by law.
I represent that any medication to which Participant is allergic or is currently taking are listed below. I agree the Participant shall bring medications which he/she is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.

I, in my own behalf and on behalf of the Participant, hereby warrant that I have read this form in its entirety and fully understand its contents and are voluntarily signing the same. I, in my own behalf and on behalf of the Participant, am aware that this Release and Waiver releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my own behalf and on the behalf of the Participant, further acknowledge that nothing in this document constitutes a guarantee that the Event will occur.

Date: March 31, 2025

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
First Participant's Signature*
Second Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Third Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Fourth Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Fifth Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Sixth Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Seventh Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Eighth Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Ninth Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Tenth Participant's Name

First Name*

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

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Age

Dance Studio

Event Date

Medications (if any):

Allergic to (if any):
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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