Forms and Waivers
8 Count Audio LLC Liability Waiver and Release Form
Please read the following statements carefully and agree by signing electronically. These agreements for participation in our programs affect your legal rights.
Certification of Authority: I, the undersigned, hereby certify that I am the Parent or Legal Guardian of the Participant(s) for whom I am completing this Liability Waiver & Release Form.
Informed Consent: I hereby give my consent for the named Participant(s) in this registration to participate in any and all 8 Count Audio LLC activities. I understand that the very nature of dance carries a risk of physical injury. No matter how careful the instructors, staff, and participants are, the risk of injury cannot be eliminated. Injuries may occur, including minor injuries and, although rare, catastrophic injuries or death. I fully understand these risks and agree to not to hold 8 Count Audio LLC or its instructors and staff responsible for any form of injury that may occur at any time during any activity that 8 Count Audio LLC participates in or holds. I hereby waive, release, absolve, and indemnify 8 Count Audio LLC, instructors, staff, and the premises owners on which any of its activities may be held, for any claim.
Identity Release and Waiver: In consideration of being allowed to participate in any way in any of the 8 Count Audio LLC athletic programs and related activities, the undersigned:
A. Acknowledges and fully understands that each participant will engage in activities involving risk of serious injury, including permanent disability, death and severe social and economic losses which might result from their own actions, inaction or negligence of others, or condition of the premises or any equipment used. Further, that there may be other risks not known to 8 Count Audio LLC or reasonably foreseeable at this time.
B. Assumes all the foregoing risks and accepts personal responsibility for damages which may hereinafter occur following such injury, permanent disability or death.
C. Releases, waives, discharges and covenants not to sue 8 Count Audio LLC, its instructors and staff, other participants, and if applicable, owners and lessors of the premises used to conduct an event, all of which are hereafter referred to as “RELEASEES” from demands, losses or damages on account of injury from future participation, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the “RELEASEES” or otherwise.
D. Agrees to carry personal health insurance in case of a sports injury.
E. RELEASES THE “RELEASEES” AND EXPRESSLY ASSUMES THE RISK OF INJURY AND DAMAGES; and will indemnify and hold harmless the “RELEASEES” as to any claims for injury and damage.
Hold Harmless: I release and hold harmless 8 Count Audio LLC, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Participant(s) and/or the undersigned, while in or upon the premises or any premises under the control and supervision of 8 Count Audio LLC, its owners and operators or in route to or from any of said premises.
Medical Treatment: I hereby give my permission for any and all medical attention necessary to be administered to Participant(s) in the event of any accident, injury, sickness, etc., under the direction of any staff member of 8 Count Audio LLC until such time as I can be contacted. I also hereby assume the responsibility for payment of any such treatment.
Media Release: The undersigned grants to 8 Count Audio LLC permission to utilize Participant(s)’s image on any reproduction for marketing purposes, including but not limited to social media, website, print, and video, if the undersigned marks “I consent” in the corresponding box at the end of this form. By marking “I do not consent,” 8 Count Audio LLC will not use Participants image on any reproduction for the aforementioned marketing purposes.
Infectious Diseases: By the signing of this waiver and release from liability, the undersigned acknowledges the contagious nature of COVID-19 and other infectious diseases, and voluntarily assumes the risk that they may be exposed to or infected by COVID-19 or other infectious diseases by use of the property, facilities, services and/or programs of 8 Count Audio LLC and that such exposure or infection result in personal injury, illness, permanent disability, and death.
The undersigned understands that the risk of becoming exposed to or infected by COVID-19 or other infectious diseases at, or on the premises of 8 Count Audio LLC and the hosts of its events, may result from the actions, omissions, or negligence of themselves and others, including, but not limited to, 8 Count Audio LLC and its staff, the hosting premises and its staff, and program participants and their families. The undersigned voluntarily agrees to assume all of the foregoing risks and accepts sole responsibility for any injury to themselves (including, but not limited to, personal injury, disability, and death) illness, damage, loss, claim, liability, or expense, of any kind, that they may experience or incur in connection with the services provided by 8 Count Audio LLC or participation in 8 Count Audio LLC’s programs (“Claims”). The undersigned hereby releases, covenants not to sue, discharges, and holds harmless 8 Count Audio LLC, its officers, directors, employees, agents and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. The undersigned agrees that this release includes any Claims based on the actions, omissions, or negligence of 8 Count Audio LLC and its staff, whether an infection due to COVID-19 or other infectious disease occurs before, during, or after participation in the services provided by 8 Count Audio LLC or use of the property, facilities, services, and/or programs of 8 Count Audio LLC.
The undersigned understands that the Participant will be required to abide by protective measures against the transmission of communicable airborne illnesses such as COVID-19, including but not limited to face coverings and physical distancing, adopted by the premises and hosts, as mandated or recommended by the health authorities of the county in which the event occurs.
Electronic Signature: I consent to have my electronic signature on this document treated as a full and complete, legally binding signature, representing my agreement to the statements contained in this document. I realize that my electronic signature herein affects my legal rights.