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Studio Liability Release
Waiver of Liability; I hereby release, indemnify and hold harmless Elite Pole & Fitness Studio, its owner, members, advisors and all employees and agents of these parties from all liabilities, suits, claim, and/or demands of any kind or nature, legal or financial, whether caused in any way by the negligence or not, arising from the participation in or observation of any Elite Pole & Fitness Studio activity for injuries to any person or property, whether on or off the premises. The student/participant named below does voluntarily participate in any and all Elite Pole & Fitness Studio activities and that the student/participant and I understand that certain risks are inherent to and from participation and involvement with Elite Pole & Fitness Studio and in its formal and informal activities. These activities include but are not limited to dance, fitness and dance conditioning. Elite Pole & Fitness is not responsible for any lost or stolen property, at any time. Anyone found to be violation any of the rules, codes of conduct or found to be disruptive to either another individual or group may be asked to leave the premises or off-site location at any time and be refused reentrance without any full or partial refund. Medical Release; As the parent/legal guardian of the student/participant names below, I request and authorize that in my absence the student/participant named below be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists and staff, duly licensed as Doctors of Medicine/Osteopathy or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the student/participant named below. I have not been given any guarantee as to the results of examination or treatment. I hereby authorize Elite Pole & Fitness Studio, its owners and all employees and agents of these parties to act for the student/participant named below according to their best judgment in providing or arranging for emergency care in any emergency circumstance requiring medication attention. Photo Release; I hereby understand and am fully aware that the student/participant named below may be participating in Elite Pole & Fitness Studio activities in which I and/or the student/participant named below may be photographed or videotaped from time to time. I hereby irrevocably grant Elite Pole & Fitness Studio perpetually, exclusively, and for all media throughout the world (including print, non-theatrical, home video, CD-ROM, internet and any other electronic medium presently in existence or invented in the future), the right to use and incorporate, in whole or in part, photographs, sound bites, or video footage taken as a result of participation in Elite Pole & Fitness Studio activities. I hereby agree that I will not bring or consent to others bringing claim or action against Elite Pole & Fitness Studio on the grounds that anything contained in the property or in the advertising and publicity used in connection herewith, is defamatory, reflects adversely on me or the student/participant names below, violates any other right whatsoever, including without limitation, rights of privacy and publicity. I hereby release Elite Pole & Fitness Studio its owners, members, and all employees and agents of these parties from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I may hereafter have against Elite Pole & Fitness Studio in connection with the Property. This agreement shall not obligate Elite Pole & Fitness Studio to use the Property or to use any of the rights granted hereunder, or to prepare, produce, exhibit, distribute or exploit the property. Elite Pole & Fitness Studio shall have the right to assign its rights hereunder, without my consent, in whole or part, to any person, firm, corporation or organization.
 

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