I understand and agree that as a participant of 615 Soul Line Dance programs, including but not limited to, classes, workshops, events, socials, fundraisers, and/or collaborative ventures, I will treat all 615 Soul Line Dance attendees, volunteers, instructors, board members, board officers, and facilities with Respect and Inclusiveness as outlined in the 615 Soul Line Dance Values. 615 Soul Line Dance prohibits any physical abuse, verbal abuse, mental abuse, emotional abuse, and/or cyberbullying by any participant, volunteer, instructor, board member, and/or board officer. If I disrupt the harmony as outlined in the above-mentioned programs, 615 Soul Line Dance reserves the right to refuse service and I will be asked to leave immediately. 615 Soul Line Dance is always open to feedback; if there are any questions or concerns, please reach us via email at 615SoulLineDance@gmail.com.
I hereby assign all rights to 615 Soul Line Dance of my photographic images, photographic likeness, and videographic footage taken of myself by 615 Soul Line Dance and its volunteers, instructors, board members, and/or board officers during my time at 615 Soul Line Dance programs, including but not limited to, classes, workshops, events, socials, fundraisers, and/or collaborative ventures. I hereby give permission to 615 Soul Line Dance to use my photographic likeness in all forms and media for advertising, fundraising, commercial use, website display, social media, and other lawful purposes, expressly limited to the activities of 615 Soul Line Dance. No compensation will be allotted for the use of these photographs and/or videotapes.
I understand and agree that I am voluntarily participating in 615 Soul Line Dance programs, including but not limited to, classes, workshops, events, socials, fundraisers, and/or collaborative ventures. I recognize that 615 Soul Line Dance programs require physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.
I understand and agree that it is my responsibility to consult with a physician prior to and regarding my participation in the above-mentioned programs. I represent and warrant that I have no medical condition that would prevent my participation in the programs.
I understand and agree to assume full responsibility for any risks, injuries, or damage known or unknown which I might incur as a result of participating in the programs. Such injuries may include, but are not limited to, falls, heart attacks, muscle strains, muscle pulls, broken bones, shin splints, heat prostration, knee injuries, back injuries, foot injuries, or any other illness or soreness, including death. I acknowledge that if participating in the programs are unsafe, I will immediately discontinue participation in such activities.
I understand that 615 Soul Line Dance cannot prevent me from being exposed to, contracting, or spreading COVID-19 when participating in 615 Soul Line Dance programs. I understand that it is my right and responsibility to protect myself against exposure and wear a mask when I feel it is necessary.
In recognition of the above acknowledged risk, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to 615 Soul Line Dance and its volunteers, instructors, board members, and/or board officers.
I hereby agree to release 615 Soul Line Dance and hold 615 Soul Line Dance harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks arising out of active participation in 615 Soul Line Dance programs.
5424 Bell Forge Lane East Number 2171, Antioch, Tennessee 37013, United States
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