Waiver of Liability and Hold Harmless Agreement

1. In the consideration of The Joffrey Workshop TX providing the opportunity for and permitting the undersigned (Participant) to participate and take part in The Joffrey Workshop TX and its related activities, June 21, 2008 to July 12, 2008 the undersigned Participant and Parent of the Participant, do hereby release, remise and forever discharge, indemnify and agree to HOLD HARMLESS WAIVE, DISCHARGE, and COVENANT NOT TO SUE The Joffrey Workshop TX, its officers, employees, faculty, instructors, servants, agents and assigns, hereinafter referred to as RELEASEES, from any claim, demand or cause of action whether now in existence, or hereafter arising for any loss of personal property, injury to the Participant or for the death of the Participant, arising out of resulting from, caused by or contributed to in whole or in any part by any action or failure to act, negligence, breach of contract, or other misconduct on the part of The Joffrey Workshop TX, its officers, faculty, agents, servants, employees, (RELEASEES) any other Participant in said workshop, any participating parent and/or any one or more of any thereof.

2. We recognize and acknowledge that certain risks of harm are or may be inherent in the various activities contemplated herein and that the Workshop or University cannot control all of these risks. We are aware that ballet training and the gymnastic exercises associated with it place unusual stress on the body and carry with them the risk of physical injury. I/We assume the risks involved. I/We also understand that dance instruction involves kinetic correction that may include physically touching the student (Participant) as part of the regular class work and/or rehearsal. I/We assume the risk and agree that The Joffrey Workshop TX faculty have permission to engage in appropriate kinetic correction of the body for technical corrective purposes as part of regular class work and rehearsal.

3. It is my/our express intent that this Release and Hold Harmless Agreement shall bind the members of my/our family if I am alive, and my heirs, assigns and personal representative, if I am not alive. It shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Texas.

4. I UNDERSTAND THAT THE JOFFREY WORKSHOP WILL NOT BE RESPONSIBLE FOR ANY MEDICAL COSTS ASSOCIATED WITH ANY INJURY THAT I OR MY CHILD MAY SUSTAIN.

5. I/We also understand that I/we should and am/are urged by RELEASSEES to obtain health and accident insurance to cover any personal injury to me/my child (Participant), which may be sustained. I/We agree that I or my child (Participant) will adhere to the Rules and Regulations promulgated by The Joffrey Workshop TX and obey all laws of the State of Texas while participating in this activity.

IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I/we have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my/I own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent or, if I am under eighteen(18) years of age, my parent or legal guardian’s approval and signature has been obtained; and I/we execute this Release for full, adequate, and complete consideration fully intending to be bound by the same.

IN WITNESS WHEREOF, I have hereunto set my hand on this _________day of ___________, 20_____.

Month Year

Student Name: _____________________________________________________

Please Print

If 18 years of age or over: Yes __________ No __________

Participant Signature: _________________________________ Date: _____________

Participant Printed Name: ________________________________________________

Participant Address: _____________________________________________________

Participant Phone Number: _______________________________________________

Cell Phone Number(s): __________________________________________________

Email Address: ________________________________________________________

EMERGENCY INFORMATION

Person(s) to be contacted in case of emergency:

Name: Relationship:_____________________________________________________

Phone Numbers:

Home: ______________________________ Cell: ____________________________

Work: _______________________________ Other: __________________________

Email Address: _______________________________________________________

Health Insurance and Policy Numbers:

Name of Insurance Company:______________________________________________

Address:_______________________________________________________________

City:__________________________________State:___________Zip:_____________

Telephone Number:______________________________________________________

Policy Number:_________________________________________________________

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If I am under the age of eighteen, I have read, understood, and discussed with my parent or guardian identified below, and we hereby accept the terms and conditions stated in this

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT.

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Participant Signature Age Parent/Guardian Signature

__________________________________ _________________________________

Printed Name

__________________________________ _________________________________

Address___________________________________

City/State/Zip_________________________________

______________________________ _________________________________

Date