STUDENT ACCEPTANCE OF RISK / WAIVER AND RELEASE OF LIABILITY
Read Carefully As This Affects Your Legal Rights
I, for myself and on behalf of any minor who I permit to attend STAR SOULS DESIGNS UNIVERSITY (Event) , on a voluntary basis have elected to participate in dance, tumbling, and other athletic performance-related activities. I, for myself and on behalf of any Minor who I permit to attend the event am aware that participation in the Activities presents certain risks (including, without limitation, brain injury, sever bodily harm and/or death).
RELEASE AND WAIVER I, for myself and on behalf of any Minor who I permit to attend STAR SOULS DESIGNS UNIVERSITY (Event) do hereby release, waive and discharge STAR SOULS DESIGNS.(Company) the facility on whose premises the Event I am attending will occur (the “Location”), and the respective directors, officers, representatives, members, agents, contractors, volunteers, and employees of STAR SOULS DESIGNS UNIVERSITY . and the Location and their respective affiliates (hereinafter collectively “Releasees”)(“Company”) and their affiliates, trustees, directors, officers, employees, contractors, volunteers and agents (“Releasees”) from any and all liability for injury, death, loss, damage, obligation, expense or penalty, including attorneys’ fees, that I may cause or sustain in connection with my participation with STAR SOULS DESIGNS UNIVERSITY and while traveling to and from the Location for the Event whether or not the Event actually occurs, classes or workshops, and whether caused by the negligence or carelessness of Releasees or otherwise.
MEDICAL RELEASE I, for myself and on behalf of any Minor who I permit to attend the Event, acknowledge and agree that participation in the Event subjects me to the risk of physical illness or injury (minimal, serious, catastrophic and/or death) and that I acknowledge that I am assuming the risk of such illness or injury by participating in the Event. In the event of such illness or injury, I authorize STAR SOULS DESIGNS UNIVERSITY. to obtain necessary medical treatment for me and hereby release and hold harmless Releasees in the exercise of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related costs and bills for services that may be incurred by me for any illness or injury that I may sustain during the Event and while traveling to and from the site for the Event whether or not the Event actually occurs. APPLICABLE LAW AND CONSENT TO JURISDICTION This Release and Waiver shall be governed by and construed in accordance with the laws of the State of Illinois without regard to its conflict of laws provisions. I, for myself and on behalf of any Minor who I permit to attend the Event, hereby consent to the exclusive jurisdiction of any state or federal court located within the State of Illinois in connection with all actions or proceedings arising out of or relating to this Release and Waiver and Medical Release Agreement. I, for myself and on behalf of any Minor who I permit to attend the Event, accept, generally and unconditionally, the exclusive jurisdiction of the aforesaid courts and waive any defense of forum non conveniens, waive any right to trial by jury and irrevocably agree to be bound by any judgment rendered thereby in connection with this Release and Waiver Agreement. I, for myself and on behalf of any Minor who I permit to attend the Event, further agree that to the extent permitted by law, any and all process directed to me in any such litigation may be served upon such me outside of the State of Illinois in the same manner and with the same force and effect as if service had been made within the State of Illinois.
PHOTO AND VIDEO RELEASE AGREEMENT I, for myself and on behalf of any Minor who I permit to attend the Event, acknowledge and agree to give permission for images and videos of myself and on behalf of any Minor who I permit to attend the Event captured during the STAR SOULS DESIGNS UNIVERSITY. through video, photo and digital camera, to be used solely for the purposes of STAR SOULS DESIGNS UNIVERSITY. promotional material and publications, and waive any rights of compensation or ownership thereto.
Signature of Student:_______________________________________________ Date: ____________
Signature of Parent:___________________________________________________Date: ____________