Permission, Waiver, Release, and Indemnity Agreement
Name of Child
In consideration of the student named above (the "Student"), the undersigned, parent, or legal guardian of the Student, on behalf of their heirs, executors, administrators, and assigns, hereby agrees to the following terms and conditions set forth below:
I understand and acknowledge that the Student is expected to abide by all BroadwayKidsLA LLC regulations during the course of the activity. I agree that BroadwayKidsLA LLC has the right to terminate the Student's participation in the program for any behavior deemed detrimental to the program by the Student.
Early Return of Student:
I understand and acknowledge that if the Student violates any BroadwayKidsLA LLC regulation during the course of the activity or participates in behavior that is deemed detrimental to the program or the Student, the Student will immediately be sent home at the parent or guardian's expense.
I acknowledge that as a condition of the Student participating in this activity, I/We hold harmless and waive any and all claims against BroadwayKidsLA LLC, including but not limited to, claims arising out of any ordinary negligence of any officer, employee, agent, or volunteer of BroadwayKidsLA LLC, for any injury, accident, illness, or death, or any loss or damage to the personal property occurring during or by reason of the Student participating in this activity, unless claim is based on gross negligence.
Voluntary Release of All Claims:
I voluntarily release, discharge, waive, and relinquish all claims that each may have against BroadwayKidsLA LLC, its staff, agents and employees, representatives, successors and assigns (collectively the "Releasees"), arising out of or in any way related to the above described activities, including but not limited to, claims for bodily injury, personal injury, emotional distress, property damage, or wrongful damage, or wrongful death occurring to the Student arising out of the stated activity. This release, discharge, waiver, and relinquishment also pertains to any instruction or supervision related to the activity on the part of BroadwayKidsLA LLC, unless claim is based on gross negligence.
Release from Third-Party Liability:
I understand that BroadwayKidsLA LLC is not an agent of, and has no responsibility for, any third-party, including without limitation, any sponsor or program, that may provide any services, equipment, training, or activities associated with the above mentioned activity.
The parents/guardian further agrees to indemnify and defend BroadwayKidsLA LLC for any action or claim commenced by parents/guardian, or for any action commenced by the Student or on behalf of the Student against BroadwayKidsLA LLC, arising out of or in any way related to the Summer Musical Theatre Workshop, including but not limited to a claim for bodily injury, personal injury, emotional distress, property damage, and/or wrongful death arising out of or participation in the activity, unless claim is based on gross negligence.
I give my consent to any of the staff, employees, agents, and representatives of BroadwayKidsLA LLC administering or consenting to the administration of such emergency medical care to the Student as such person deems appropriate in the circumstances, and hereby authorizes medical treatment in case of emergency.
I understand and acknowledge that BroadwayKidsLA LLC does not carry or maintain health, medical, or disability insurance coverage for the Student and therefore I agree to assure the responsibility for such insurance coverage on the Student.
I agree to provide to BroadwayKidsLA LLC, no later May 20, 2017, current information concerning any medical or physical conditions, including, but not limited to, allergies, asthma, and medications of the Student, and names and phone numbers for emergency contact.
If any provision of this agreement is held invalid or unenforceable, the remainder of this agreement shall nevertheless remain in full force and effect. If any provision is held invalid, or unenforceable with respect to particular circumstances, it shall nevertheless remain in full force and effect in all other circumstances.
The parent/guardian acknowledges that they have read this "Permission, Waiver, Release, and Indemnity Agreement" and are aware of the legal consequences of signing this binding document. The signature below indicates that the parent/guardian has read and freely signed this agreement.
By entering your name and date below, you acknowledge that you have read, understand, and accept the policies stated above.
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BROADWAY KIDS LA
Broadway Kids LA