Participant Waiver

The Blueprint Convention — Participant Waiver & Release

Acceptance of Risk / Waiver and Release of Liability / Appearance Agreement. This waiver is perpetual — one signature covers all current and future Blueprint Convention, LLC events and activities the participant takes part in.

This form must be filled out by each participant and each participant's parent or legal guardian if the participant is under 18.

I ("I", "me", "Participant"), have elected, on a voluntary basis, and, if I am under the age of 18, with the acknowledgement and permission of my parent or legal guardian (individually and collectively referred to herein as "Guardian"), to participate in dance and other athletic performance-related activities (individually and collectively, "Activities") for which I am registered with Blueprint Convention, LLC ("Company"), which may include, without limitation, participation in The Blueprint Convention, all Virtual events whereby I participate at a remote location, and/or events to be named subsequent to the date hereof (individually and collectively, "Events").

I and my Guardian hereby represent and warrant that: (i) I am aware that participation in the Activities presents certain risks (including, without limitation, brain injury, severe bodily harm and/or death) and I am aware that equipment problems and human error can contribute to or cause such injuries; (ii) I am aware that my risk of injury may be increased if I suffer from conditions that may be affected by physical exertion, and I represent and warrant that I am in good health and do not suffer from any such condition(s) (including, but not limited to neck, back, heart problems and pregnancy); (iii) no representations of any kind have been made to me by Company or Company's employees or personnel regarding my ability to participate in the Activities; and (iv) my participation in the Activities is not employment and is not subject to any union or collective bargaining agreement, and does not entitle me to wages, salary, corporate benefits, unemployment or workers' compensation benefits, or other compensation.

I knowingly and voluntarily assume all risks associated with the Activities, and I and my Guardian unequivocally agree to incur and assume such risks as a condition to my participation in the Activities. I represent and warrant that I have reviewed this waiver ("Waiver") with my Guardian and I have obtained the permission of my Guardian to enter into this Waiver, as evidenced by my Guardian's signature below. I and my Guardian agree and acknowledge that this Waiver is applicable to all Company Events and all Activities in which I participate at any time and is a perpetual Waiver for all such Events and Activities.

I and my Guardian agree and acknowledge that I may only attend Events under the supervision of a chaperone who is at least 21 years of age ("Chaperone"), that such Chaperone is responsible for my supervision at all times, and that Company is not responsible in any way or to any extent for supervision of me or for my welfare during my attendance at Events and participation in Activities.

Appearance / Likeness Release

I understand that Company from time to time produces audio-visual programs, promotions, and other materials relating to its Events. I and my Guardian hereby grant Company and its agents, successors, assigns and licensees the perpetual right to use my name, likeness, biographical information, photographs, voice, personal characteristics, and other personal identification (collectively "Likeness") and any digital, videotape, sound and audio-visual recordings in any way (collectively "Recordings") in any and all manner and media, now known or hereafter devised, throughout the world, for any and all purposes including, without limitation, in productions and in connection with the advertising and promotion of productions and/or Company, provided that Company is under no obligation to exercise any of the foregoing rights.

Waiver of Liability Relating to Coronavirus / COVID-19

("COVID-19" as used herein includes any known or unknown pandemic declared by the WHO.) COVID-19 has been declared a worldwide pandemic by the World Health Organization ("WHO") and is reported to be extremely contagious. The virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and unknowingly spread the disease. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death.

Company has put in place preventative measures to reduce the spread of COVID-19, however, Company cannot prevent you (or your children) from becoming exposed to, contracting, or spreading COVID-19 while attending Company's Events and/or entering Company's premises. It is not possible to completely prevent against the presence of the disease. Therefore, if you choose to attend Company's Events and/or enter onto Company's premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

Assumption of Risk. I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to attend Company's Events and/or enter Company's premises. These services are of such value to me (and/or to my children) that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to attend Company's Events and/or premises in person.

Waiver of Lawsuit / Liability

I hereby forever assume all the foregoing risks and accept sole responsibility for injury to my child(ren) or myself and release and waive my right to bring suit against Company and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to attending Company's events and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease, property losses, or any other loss, including but not limited to claims of negligence, and give up any claim I, or my heirs and assigns, may have to seek damages, whether known or unknown, foreseen or unforeseen. This release includes any claims based on the actions, omissions, or negligence of Company, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after my presence at any of Company's Events or locations.

In order to induce Company to register Participant in Company's Events and in consideration for Participant's opportunity to participate in the Activities, I and my Guardian hereby waive all claims (past, present or future), release and discharge, covenant not to sue and agree to indemnify and hold harmless Company and all of its sponsors and advertisers, all venues at which the Events are held, all other persons and entities connected with the Events, the respective parents, subsidiaries, affiliated entities, licensees, successors and assigns of each of the foregoing, and each of their respective directors, officers, employees, agents, contractors, partners, shareholders, representatives and members, and each of their respective heirs, next of kin, spouses, guardians, legal representatives, executors, administrators, successors, licensees, and assigns (individually and collectively, the "Releasees"), in advance from and against any and all liability, loss, cost, damages, expense, claims, demands, actions, judgments and executions (individually and collectively, "Claims") which the Releasing Parties ever had, now has, or may have in the future, known or unknown, for loss or injury including, without limitation, personal injuries, bodily injury, death, lost wages, loss of employment, infliction of emotional distress, and/or damage to property (real or personal) in any way caused by, related to, or arising out of, directly or indirectly, the Releasing Parties' participation in the Activities and/or presence at the Events, including, without limitation, Claims arising from any defect or failure in or of equipment, venues, warnings, instructions, or otherwise, and/or arising from the Releasees' or any third parties' negligence or carelessness and/or the use of my Likeness, including but not limited to defamation, invasion of privacy, infringement of rights of publicity, misappropriation, false light, copyright or trademark infringement.

I and my Guardian understand the significance and consequence of, and agree that, "A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor." I and my Guardian shall not be entitled for any reason to terminate or rescind this Waiver nor to enjoin, restrain or otherwise impair the exercise of any of the rights and privileges granted or to be granted to Company hereunder, nor to restrain, enjoin or otherwise impair the development, production, exhibition and/or exploitation of the Events.

In Case of Emergency

I and my Guardian authorize Company and Company's agents, employees, representatives, and contractors, to arrange for or provide such medical assistance to me as any of them deems necessary, and authorize any physician, other medical or paramedical provider, and any medical facility to provide medical or surgical care, including without limitation anesthetization and hospitalization, which any of them may determine to be necessary or advisable, pending receipt of a specific consent from me. If my condition renders me incapable (as determined by Company and/or medical provider) of providing a specific consent at the time medical provider present determines any treatment to be necessary and/or advisable in such medical provider's sole discretion, I and my Guardian authorize such provider to administer such treatment without the need for further consent. I and my Guardian acknowledge that I will be responsible for paying for any medical treatment that I may receive as a result of injuries or illness suffered during my attendance and/or participation in the Events and Activities.

This Waiver shall be interpreted under the internal, substantive laws of the State of Arizona without regard to the conflicts of law provisions thereof. The illegality, invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any of the remainder of this Waiver, which shall be enforced to the maximum extent permitted by law. I and my Guardian acknowledge that I and my Guardian have read every paragraph of this Waiver and understand each paragraph completely. I and my Guardian freely and voluntarily agree to all the terms contained herein and understand that I and my Guardian are giving up certain legal rights.

Find your registration

Enter the dancer's name and studio exactly as they appear on the registration, plus the email address used to register, so we can link the signature to the right record.

Having trouble or have questions? Shoot an email to Latoyia@theblueprintalliance.com.