Lawton Ballet Theatre
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH LAWTON BALLET THEATRE (herein referred to as "LBT"), including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of LBT from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I/my student physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude me/my student participation with LBT.
In consideration of my application and permitting me/mystudent to participate in LBT, I hereby take action for myself/my student, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of LBT released, for my/my student , disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me/my student including my/my student traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Lawton Ballet Theatre and/or their directors, officers, employees, volunteers, representatives, and agents, contractors, teachers and the activity holders, sponsors, and volunteers;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that LBT and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for physical injury, and property loss. The risks include, but are not limited to, those caused by facilities, temperature, condition of participants, equipment, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
I/my student hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness while in the LBT studio.
I understand while participating in LBT, I/my student may be photographed. I agree to allow my/my student photo, video, or film likeness to be used for any legitimate purpose by LBT producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.