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As a participant in the Ground Zero Performance (“The Clinic”), I acknowledge that participation in the camp exposes me to a possible risk of personal injury. I, hereby release Ground Zero Performance, The Clinic, and any of its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates from any and all liability for property damage, personal injuries or other claims arising from or in connection with my participation in the camp, including claims that are known and unknown, foreseen and unforeseen, future or contingent.

 

This release also gives the Clinic and Ground Zero Performance Training the absolute and irrevocable right and permission with respect to the photographs/video that they have taken of me or in which I may be included with others. The Clinic has the ability to use, to re-use, publish and republish in whole or in part, individually or in conjunction with other photographs, in any medium and for any purpose whatsoever, including (but not always by limitation) illustration, promotion, advertising and trade. I covenant that I will not now or at any time in the future, directly or indirectly, commence or prose cute any action, suit or other proceeding against The Clinic, Ground Zero Performance and any of its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, arising out of or relating to the actions, causes of action, claims and demands hereby waived, released and discharged by me.

 

I acknowledge that I have read and fully understand this Injury Waiver and General Release Form.

 

This agreement will be binding on me, my spouse, my children, my legal representatives and my heirs, successors and assigns.

DATE: __________________________ PARTICIPANT: ____________________________________

Signature

____________________________________

Printed Name

 

The undersigned (“Parent”), parent of _____________________________________________ (“Subject”), hereby consent to affirm, and, on behalf of subject, agree to be bounds by the Injury Waiver and General Release Form attached hereto which has been signed by subject. Parents also represent, warrant and agree that Parents (is) (are) entitled to the care and custody of Subject and (is) (are) Subject’s legal guardian(s); that during the minority of Subject and for a reasonable time afterwards, Parents will use all reasonable efforts to prevent Subject from attempting to or actually disaffirming the Injury Waiver and General Release Form signed by Subject; t hat Parents hereby acknowledge that Parents have read the Injury Waiver and General Release Form and are satisfied that it is fair and equitable for the benefit of Subject: and that Parents will not revoke this consent and approval.

 

 

DATE: __________________________ PARENT:____________________________________

Signature