Assumption of Risk and Waiver of Liability Release

Assumption of Risk and Waiver of Liability Release

PLEASE READ THE FOLLOWING CAREFULLY as this is a legal waiver between you <PARTICIPANT> and Poling Around Studio LLC. If you have questions or concerns about signing this document you should consult an attorney.

In consideration of my being allowed to participate in any of the Poling Around Studio LLC Classes, Workshops, Performances or other related pole dance activities/events and/or to use ANY Poling Around Studio LLC equipment, I agree to the following waiver and release.

You acknowledge that you are 19 years of age or older.

You acknowledge that Poling Around Studio LLC is in no way responsible for the safekeeping of your personal belongings while you participate in pole dance classes and other related activities.

You understand that this event may be physically strenuous and you are voluntarily participating with full knowledge that there is risk of personal injury, property loss or in extreme cases, death.

You accept all the risks associated with participating with Poling Around Studio LLC and the facility that hosts Poling Around Studio LLC activities/events, even if they are created by the carelessness or negligence of a released party of anyone else. (“Released Parties” as used in this document means Poling Around Studio LLC, its owners, officers, directors, stock holders, managers, employees, contractors, associates, agents, representatives, and assigns). Risks may include physical exertion, wet and uneven surface conditions, temperature extremes, and all potential damages associated with personal injury sustained by a member and/or member’s guest. You know there are other risks that are not listed.

You release, discharge and waive any claims that you may have, now or in the future, against all released parties even if claims are based on the carelessness or negligence of a released party or anyone else. (“Claims” as used in this document means any and all liabilities, claims, demands, legal actions, and rights of action for damages, personal injury or death that are related to or in any way connected with participation in activities with Poling Around Studio LLC).

You agree not to sue released parties for claims, even if the claims arise from carelessness or negligence of a released party or anyone else. You agree to indemnify (reimburse for any loss) and hold harmless each released party from any loss or liability (including any reasonable attorney’s fees that may incur) in defending any claim made or anyone making a claim on your behalf, even if the claim is alleged to or did result from the carelessness or negligence of a released party or anyone else.

You are aware that there is no obligation for any person to provide medical care to you during the activities. If medical care is rendered, you consent to that care if you are unable to give consent for any reason at the time that the care is rendered.

You are aware that it is advisable to consult a physician prior to participating in activities. If you have consulted one, you have taken the physician’s advice.

This agreement and any rights, duties and obligations as between the parties to this agreement shall be governed by and interpreted solely in the accordance with the laws of the state of Nebraska and no other jurisdiction, and any litigation involving the parties to this agreement shall be brought solely within the state of Nebraska and shall be within the exclusive jurisdiction of the Courts of the state of Nebraska.

In entering this agreement, you are not relying on any oral or written representations or statements made by Poling Around Studio LLC other than what is set for in this agreement.

By signing this waiver, you agree that: I have read and understand this agreement and I am aware that by signing this agreement I am waiving certain legal rights which I or my heirs, executors and legal representatives may have against Poling Around Studio LLC. I understand and intend that this document acts as the broadest and most inclusive assumption of risk, waiver, release of liability, agreement not to sue and indemnify as permitted by the laws of the state of Nebraska.