Release of Liability and Assumption of Risk Agreement
In consideration of being allowed to participate in any way in the programs, classes, related events and activities, and use of equipment, I acknowledge and agree that:
- The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.
- I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Releasees or others, and fully assume full responsibility for my participation.
- I willingly agree to comply with the terms and conditions for participation. If I observe any unusual, significant hazard during my presence or participation, I will remove myself from participation and bring it to the attention of the nearest official immediately.
- I, for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless Beach Ballroom Inc., its officers, agents, officials and/or employees, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct business (the “Releasees”) from any and all claims, demands, losses, and liability arising out of or related to any injury, disability, or death I may suffer, or loss or damage to person or property, whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law.
Health Statement
I will notify Beach Ballroom Inc. ownership or employees if I suffer from any medical or health condition that may cause injury to myself or others or may require emergency care during my participation.
Media Statement
By signing below, I hereby grant and convey to Beach Ballroom Inc. all right, title, and interest in and to record my name, image, voice, or statements, including any and all photographic images and video or audio recordings made by Beach Ballroom Inc.
I have read this Release of Liability and Assumption of Risk Agreement, fully understand its terms, and understand that I have given up substantial rights by signing it. By clicking submit, I agree that I have signed freely and voluntarily without any inducement.
[signature]
