I fully understand that Pure Energy Dance Foundation and staff are not physicians or medical practitioners of any kind. With the above in mind, I hereby release the staff of Pure Energy Dance Foundation to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the staff of Pure Energy Dance Foundation, to seek medical help, including transportation to any health care facility or hospital, or the calling of an ambulance for said child should the staff of Pure Energy Dance Foundation deem it necessary.
The undersigned agree, Pure Energy Dance Foundation and its' staff members are not responsible for injuries sustained by any dancer during the course of dancing or acro in which he/she may participate. With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Pure Energy Dance Foundation. I, my heirs, executors, and other representatives, waive and release all rights and claims for damages that I or my child/ children may have against Pure Energy Dance Foundation and or its representatives whether paid or volunteer.
If in time of an accident or serious illness I cannot be contacted, I give permission for Pure Energy Dance Foundation teachers to seek medical attention. I also undertake to pay any costs which may be incurred for the medical treatment, ambulance transport and drug cost.
I hereby irrevocably authorise and grant to Pure Energy Dance Foundation (including other parties engaged by Pure Energy Dance Foundation) the right to record my child (picture and / or voice) on photographs, films and or videotape, for audio only, audio and visual and or visual only reproduction and website use) ("The Recording"), the right to edit the Recording into a film/television programme or corporate video, and right to screen and broadcast the Recoding in the film, and the right to use and to license others to use the Recording in all media, throughout the world, including for the purposes of publicity, advertising, sales and promotion of Pure Energy Dance Foundation.
Pure Energy Dance Foundation shall also be entitled to use my name and likeness, voice, biographic or other information that is public record concerning me. I hereby release Pure Energy Dance Foundation from any infringement or violation of personal and / or property rights of any sort whatsoever, based upon the use of the recording and images.
I acknowledge that Pure Energy Dance Foundation owns and shall own all rights, title and interest (including copyright), in the Recording.
I warrant that I have full power to enter into this Release and the terms of this Release do not in any way conflict with any existing commitment on my part.
Reference to "The Recording" in this Release includes any and all edited versions made by Pure Energy Dance Foundation and further includes any previously recorded material of me made by Pure Energy Dance Foundation.