Waiver of Liability and Media Consent Waiver of Liability * In consideration of being allowed to participate in dance classes and/or activities conducted with Red Clay Dance Company Inc., I HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge Red Clay Dance Company, Inc. its agents, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities, of every kind and nature, whether know or unknown, in law or equity, that I ever had or may have, arising from or in an way related to my participation in any of the events and activities conducted by, on the premises of, or for the benefit of Red Clay Dance Company, Inc. provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct. I understand that the activities that I will participate in are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, my heirs, assigns and next of kin, I waive all claims for damages, injuries and death sustained to me or my property, that I may have against the aforementioned released party to such activity. I have the necessary and requisite skills to participate in all facets of and activities of and requested of this dance studio, except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participation activities is expressly made a part of this WAIVER AND RELEASE. By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with Red Clay Dance Company, Inc. including but not limited to receiving lessons at the facility, using the facility and its equipment, practicing and/or engaging in dance activities or other related activities on and off the premises. This WAIVER AND RELEASE contains the entire agreement between the parties and supersedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provision of this WAIVER AND RELEASE may be waived, altered, amended, or repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of Red Clay Dance Company, Inc. whether by agreement, by operation of law, or otherwise. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE I have given considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My registration is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of liability to the full extent of the law. I have disclosed all allergies or medical conditions, and I authorize the facility to disclose these conditions to a physician or other medical professional in the event that I should require emergency medical care. As a result of the disclosed medical conditions, I have also disclosed my prohibition from involvement in the specified activities. I have read and agree to the terms above. Media Release * I give my permission to RED CLAY DANCE COMPANY, INC its legal representatives and assigns, those for whom RED CLAY DANCE COMPANY, INC. Is acting, and those acting with its permission, or its employees, absolute and irrevocable right and permission. With respect to the videos, audio recordings and/or photographs that its employees, officers, agents or assigns have taken of me, and/or my child. • To copyright the same in the name of RED CLAY DANCE COMPANY, INC. • To use, re-use, publish and republish the same in whole or in part, individually or in conjunction with other photographs or images, in any medium including, but not limited to, print, video, audio recordings or the internet, for all purposes, including advertising, trade or any commercial purpose throughout the world and in perpetuity. I understand that I will not be paid for these audio recordings, photographs and/or video footage and have no rights to them. I am participating as a volunteer. I hereby waive any right to inspect or approve the finished photograph/video or advertising copy or printed matter that may be used in conjunction therewith or to the eventual use that it might be applied. I hereby release RED CLAY DANCE COMPANY, INC. Its officers, employees and agents, from any and all claims of harm and liability as a result of any distortion, blurring, or alteration, optical illusion, or use in composite form, either intentionally or otherwise which may occur from making, showing, using, or distributing these audio recordings/photographs/video. By registering, I verify that I am at least 18 years of age and have read this agreement freely and in full. I understand that the activities that I will participate in are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, my heirs, assigns and next of kin, I waive all claims for damages, injuries and death sustained to me or my property, that I may have against the aforementioned released party to such activity. I have the necessary and requisite skills to participate in all facets of and activities of and requested of this dance studio, except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participation activities is expressly made a part of this WAIVER AND RELEASE. By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with Red Clay Dance Company, Inc. including but not limited to receiving lessons at the facility, using the facility and its equipment, practicing and/or engaging in dance activities or other related activities on and off the premises. This WAIVER AND RELEASE contains the entire agreement between the parties and supersedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provision of this WAIVER AND RELEASE may be waived, altered, amended, or repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of Red Clay Dance Company, Inc. whether by agreement, by operation of law, or otherwise. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE I have given considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My registration is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of liability to the full extent of the law. I have disclosed all allergies or medical conditions, and I authorize the facility to disclose these conditions to a physician or other medical professional in the event that I should require emergency medical care. As a result of the disclosed medical conditions, I have also disclosed my prohibition from involvement in the specified activities. I have read and agree to the terms above. Name * First Name Last Name Parent Name (if participant is below 18 years of age) First Name Last Name Email * Date * MM DD YYYY Thank you for your submission.