For good and valuable consideration (value), the receipt and sufficiency of which is hereby conclusively acknowledged, including being permitted to by Full Moon Pole & Dance Studio LLC, or any other location for any purpose, including but not limited to observation, use of facilities or equipment, or participation in any way, including training, performing, volunteering, observing, and/or competing in pole dance and/or lyra and/or silks, (collectively “the Aerial Arts”, which is a potentially hazardous activity):

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The undersigned hereby acknowledges, agrees and represents that he or she, immediately upon entering studio, will inspect equipment and facilities. It is further warranted that such entry in the studio for observation, participation or use of any facilities or equipment is an acknowledgment that all facilities and equipment inside have been inspected, and that the undersigned finds and accepts same as being safe and reasonably suited for the purposes of such observation or use.

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In further consideration of being permitted to enter the studio for any purpose, including but not limited to observation, use of facilities or equipment or participation in any way, the undersigned hereby agrees to the following:

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THE UNDERSIGNED HAS OBTAINED OR WILL OBTAIN AN APPROPRIATE MEDICAL CHECKUP, BEFORE COMMENCING ANY AERIAL ARTS TRAINING, WITH A PHYSICIAN TO VERIFY THAT AERIAL ARTS TRAINING IS APPROPRIATE FOR THE UNDERSIGNED’S PHYSICAL CONDITION. IF THE PHYSICIAN DISAPPROVES OR APPROVES BUT ONLY SUBJECT TO CERTAIN CONDITIONS, THE SAME SHALL BE COMMUNICATED IN WRITING TO FULL MOON POLE & DANCE STUDIO LLC AS A PRECONDITION TO ENROLLING IN PERFORMANCE, COMPETITION, WORKSHOP, CLASS, OR TRAINING.

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THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE FULL MOON POLE & DANCE STUDIO LLC, and any of their officers, directors, instructors, employees, agents, and co-participants (hereinafter referred to as “Releases”) from all liability to the undersigned for any loss or damage, and any claim or demands on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence, pre-existing medical condition, or physical over-exertion of the undersigned or otherwise, while the undersigned is in any facilities or use of any equipment. This includes without limitation injuries or damages which may result from physical contact with participants or instructors, slipping or tripping and falling due to a dangerous condition of the property, improper maintenance of the location or equipment, inadequate security, inadequate supervision, and/or improper or negligent instruction.

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THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASEES and each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in, upon or about the studio or in any way observing or using any facilities or equipment of at the studio, whether caused by the negligence of the Releases or otherwise.

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THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, death or property damage due to the negligence of Releases while in, upon or about the Event Venue or while using the Event Venue or any facilities or equipment hereon.

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THE UNDERSIGNED FURTHER EXPRESSLY AGREES THAT THE FOREGOING RELEASE, WAIVER AND INDEMNITY AGREEMENT AND AGREEMENT TO ASSUME RISK OF POTENTIALLY HAZARDOUS ACTIVITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS PERMITTED BY THE LAW OF THE STATE OF CALIFORNIA and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

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THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT AND ASSUMPTION OF RISK OF POTENTIALLY HAZARDOUS ACTIVITY, AND FURTHER AGREES THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. FURTHERMORE, THE UNDERSIGNED UNDERSTANDS THAT NO ONE AT FULL MOON POLE & DANCE STUDIO LLC IS AUTHORIZED TO MODIFY THIS AGREEMENT.

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I fully understand that if any medical treatment is provided to me at the Full Moon Pole & Dance Studio LLC, with or without my consent, such treatment will be first aid type treatment, and I waive any and all claims or causes of action arising from or based upon the provision of such treatment, including claims or causes of action based upon the negligent provision of such treatment.

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No amendment, modification, or supplement to this Agreement shall be binding unless it is in writing and signed by the parties. This Agreement is the entire agreement between the parties. This Agreement supersedes all previous agreements. If any term or provision of this Agreement is determined to be illegal, unenforceable, or invalid in whole or in part for any reason, such provisions shall be stricken from this Agreement, and shall not affect the legality, enforceability, or validity of the remainder of this Agreement. Each person signing this Agreement represents and warrants that he or she is duly authorized, and has legal capacity to execute and deliver this Agreement, including the parents or guardians of any minor. This agreement shall bind the parents, heirs, executors and assigns of the undersigned.

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I HAVE CAREFULLY READ THIS RELEASE. I HAVE NO QUESTIONS TO ASK PRIOR TO SIGNING THIS AGREEMENT. THIS IS A LEGAL DOCUMENT AND I HAVE HAD THE OPPORTUNITY TO CONSULT MY ATTORNEY BEFORE SIGNING IT. I AGREE THAT ANY AMBIGUITY IN THIS AGREEMENT SHALL NOT BE INTERPRETED AGAINST FULL MOON POLE & DANCE STUDIO LLC.