Waiver & Release of Liability *
I waive, release and discharge from any and all liability, including but not limited to liability arising from the negligence or fault of the entities or persons released: Music On Wheels, and /or their directors, officers, employees, volunteers, representatives, and agents, the activity or eventholders, sponsors, or volunteers. I indemnify, hold harmless, and promise not to sue the entities mentioned in this paragraph from all liabilities and claims resulting from participation in classes, lessons, events, or activities due to negligence, errors, omissions, acts, or failures to act of any party or entity conducting services, activities, or events on behalf of Music On Wheels. I acknowledge that this activity or event may involve a test of a person’s physical and mental limits and may carry with it the potential for serious injury, property loss, or death. Risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, health condition of participants, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to participants, but are also present for staff. I understand that risk of injury is inherent in any physical activity, and I, on behalf of myself/my child, knowingly and voluntarily accept that risk that may include but is not limited to heart, back, medical, allergy, muscular, pregnancy, diabetes, epilepsy, chemical or neurological condition, special medication, knee/kidney/shoulder problems, etc. I further certify that the aforementioned student is in proper physical condition to participate in the exercise/dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in the Music On Wheels program. I hereby consent my child to receive medical treatment, which may be deemed advisable in the event of injury, accident, and/or illness during this class, activity or event. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Music On Wheels, LLC responsible for payment of medical expenses. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I also understand that at this event or related activities, I/my child may be photographed or videotaped in activities described within Music on Wheels’ program. I agree to allow photos, video, Internet advertisement, and/or film to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, for marketing, informational, or educational purposes. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY AGREE AND UNDERSTAND ITS CONTENT. I understand this is a year round program and a yearly registration fee is due August of each year(after 1st year). I understand there are no refunds. lessons are recurrent. If I decide to cancel services, I understand that I must submit a written 30 day notice in advance to stop debit payments, or be charged a $35 cancellation fee.I have also received the Parent/Student Enrollment Handbook and I understand that I am responsible and accountable to the information enclosed. I give my child permission to participate in the Music On Wheels Program under the guidelines set forth in the Parent/Student Enrollment Manuel, and this entire form regarding payment, liability waiver, and release of Photography and video.