Individual Participant Indemnification and Waiver Form
Instructions: All of the following items of information must be completed in order to participate in the STRIPPER 101 Program at the V Theater. Each participant is required to complete, sign, and submit this form to the Instructor associated with this program. If you choose not to participate and decline to sign the waiver, you will not receive a refund. All sales are final.
Terms and conditions
I certify that I am eighteen (18) years of age or older, have no known pregnancy, am under no restrictions by a doctor or take any medication that might impair my abilities in this class.
By signing this Indemnification and Waiver Form, you are releasing STRIPPER 101 & THE V THEATER, its officers and directors, faculty, staff, agents, employees, hosts of the event, and sponsors (hereafter collectively referred to as “STRIPPER 101 & THE V THEATER”) from and against any and all liability, including liability for negligence, and you are acknowledging that STRIPPER 101 & THE V THEATER is disclaiming all warranties and will hold harmless STRIPPER 101 and the V THEATER of any liability.
I understand that STRIPPER 101 & THE V THEATER may use electronic surveillance to monitor the safety of all participants taking the class. Under no circumstances will images of the participants(s) be shared with any other party, business, or entity. Participants have a legitimate expectation of privacy in areas such as changing rooms and restrooms and no monitoring will take place.
Notice of Risk: I understand that participation in athletic activity of any nature may expose me to risk of serious bodily injury. These risks include, but are not limited to, the possibility of collisions with other participants, spectators, and equipment failure. I understand that no degree of care or caution can completely eliminate these risks.
Release for Photography of Image and Likeness. For the valid consideration of being permitted to participate in this class, the receipt and sufficiency of which is hereby expressly acknowledged, I do hereby grant to STRIPPER 101, LLC, a Nevada Limited Liability company, its affiliates, assigns, licensees, successors in interest, legal representatives, and heirs (collectively the “Company”), the irrevocable right to use my image, picture, portrait, and/or photographer in all forms and in all media now known and hereafter created, and in all manners, without any restriction as to changes or alternations (including but not limited to composite or distorted representations or derivative works made in any medium) for advertising, trade, promotion, exhibition, or any other lawful purposes, and I waive any right to inspect or approve the photograph(s) or finished version(s) incorporating the photograph(s), including any written text or copy that may be created and appear in connection therewith.
Release of Creative Control, Rights of Publicity, Exceptions: I hereby further release and agree to hold harmless the Company (as defined above), from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the photographs, or in any processing tending toward the completion of the finished product, unless it can be shown that they and the publication thereof were maliciously caused, produced, and published solely for the purpose of subjection me to conspicuous ridicule, scandal, reproach, scorn, and indignity. I agree that the Company owns the copyright in these images, pictures, portraits, or photographs, and 1) hereby waive and assign to the Company any rights of publicity, which I may claim pursuant to NRS 597.770, et seq.; 2) additionally, I hereby waive claims I may have based on any usage of the photographs or works derived therefrom, including but not limited to claims for either invasion of privacy or libel. I am of full age, and competent to sign this release. I agree that this release shall be binding on me, my legal representatives, heirs, and assigns. I have read this release and am fully familiar therewith.
Assumption of Risk, Release of Liability, Requirement to Maintain Insurance: I hereby freely and expressly assume and accept any and all risk of injury and/or death arising form my participation in any and all athletic activities I may undertake by or though STRIPPER 101 & THE V THEATER, or from the use of any equipment provided or furnished to me by STRIPPER 101 & THE V THEATER. I hereby release STRIPPER 101, THE V THEATER, and Company from liability for any and all injuries and damages, including death, arising from my participation in any and all athletic activities I may undertake, including the use of any and all equipment provided or furnished to me. In so doing, I release STRIPPER 101 & THE V THEATER from all liability, including, but not limited to, liability for negligence, failure to warn, product liability, and warranty arising out of or in any way connected with my participation in athletic activities. Furthermore, I promise and agree not to make any claim or commence any lawsuit against STRIPPER 101 & THE V THEATER for injuries or damages arising from my participation in such activities or from the use of such equipment. As to the use of any equipment provided or furnished to me by STRIPPER 101 & THE V THEATER, I expressly disclaim any and all warranties connected with such equipment. I have inspected and agree to accept such equipment “as is,” and agree that there are no warranties with respect to such equipment which extend beyond the face of this agreement. I also acknowledge that I am required to carry and maintain my own accident and health insurance sufficient to meet all costs and expenses which I might incur as a result of any injury I might sustain while participating in athletic activities, and by signing below I acknowledge that I am presently covered by such health insurance.
Indemnity Agreement: I promise and agree that I will be responsible with my use of any equipment provided or furnished to me by STRIPPER 101 & THE V THEATER. I hereby agree to indemnify STRIPPER 101 & V THEATER for death or injury to myself or any other person or property arising from my participation in athletic activity, and/or the use of any such equipment provided or furnished to me. I further agree that in any action or proceeding arising out of this agreement, the prevailing party shall be entitled to recover reasonable attorneys’ fees and costs from the other party or parties, in addition to any other relief. If any provision of this agreement is held in whole or in part to be unenforceable for any reason, that provision will be severable and the remainder will remain enforceable and in effect.
I hereby indicate that I am covered by personal health and accident insurance.
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