I, ______________________________________, am the parent or legal guardian of _____________________________________ (the student). I have, on behalf of myself and on behalf of the Student, requested and been granted, subjected to the accuracy of the statements contained herein, access to the premises, buildings and facilities of Legacy Performing Arts Academy (the "Premises") and to participation in activities through the Legacy Performing Arts Academy, including but not limited to dance, tumbling and other physical activities, on such site or elsewhere (the "Activities").
I certify that I fully understand and comprehend that participation in dance, tumbling or other forms of physical activity may expose me and/or the Student to dangers and/or hazardous conditions and accept full responsibility for any harm which may come to me and/or the Student and our respective dependents, heirs, successors, agents or assigns as a result of such entry onto said Premises or participation in the Activities.
On behalf of myself and the Student and our respective successors, heirs and beneficiaries, I hereby release Legacy Performing Arts Academy all of their respective officers, directors, shareholders, employees, agents, successors, assigns, legal representatives and any and all persons and companies in privities with them, from any and all responsibility and liability of any kind or character arising from or related to, directly or indirectly, whether known or unknown, my and the Student's entry onto the Premises and participation in the Activities, and I further waive any and all claims and causes of action of any kind of character arising from or relating to, directly or indirectly, whether known or unknown, my or the Student's entry onto the premises and the Activities.
In the event that any claim, demand, cause of action, or suit should be made or initiated against a party released hereunder, in any way relating to or arising from my or the Student's entry onto the Premises or the participation in the Activities, I agree to indemnify, defend and hold harmless such released party from and against any such claim, demand, cause of action, or suit, including, but not limited to all attorneys fees and costs incurred by such party in defending itself.