Waiver...

Please read and sign PRIOR to attending 412: The Intensive 

 

412: The Intensive (owned by The Sirota Movement, LLC) will make all efforts to help our students to avoid injury. However, it is important that you understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury.

PLEASE READ CAREFULLY. REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE AND MUST BE COMPLETED BEFORE YOUR FIRST CLASS

I hereby acknowledge and agree to be bound by all the terms set forth herein in this Liability Waiver and Acknowledgement of Risk.

I voluntarily agree to assume all risks and responsibility for any injury or accident, which might occur to me or my child during any of the classes, rehearsals, performances, or activities.

I also exempt, release, and indemnify 412: The Intensive (owned by The Sirota Movement, LLC) and Millennium Dance Complex Pittsburgh, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by 412: The Intensive (owned by The Sirota Movement, LLC) and Millennium Dance Complex Pittsburgh.

I further voluntarily agree to waive my rights and that of my heirs and assigns to hold 412: The Intensive (owned by The Sirota Movement, LLC) and Millennium Dance Complex, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death.

I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights. 

I hereby grant 412: The Intensive (owned by The Sirota Movement, LLC) and Millennium Dance Complex Pittsburgh the irrevocable right and permission to use photographs and/or video recordings of me (or my child) on websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me.  

I understand and agree that such photographs and/or video recordings of me may be placed on the Internet.  I also understand and agree that I may be identified by name and/or title in printed, Internet or broadcast information that might accompany the photographs and/or video recordings of me.  I waive the right to approve the final product.  I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape and digital files are and shall remain the property of 412: The Intensive (owned by The Sirota Movement, LLC) and Millennium Dance Complex Pittsburgh. 

I hereby release, acquit and forever discharge 412: The Intensive (owned by The Sirota Movement, LLC), Millennium Dance Complex Pittsburgh and employees of the above-named entities from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.

My signature is proof of my intention to execute a complete and unconditional waiver all liability, either on behalf of my minor child or on my own behalf, to the fullest extent of the law.

I have read, understood and agree to be bound by the above statements: 

 
 
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