Register | Thrill the World Eugene Oregon

Thrill the World Eugene – Dance/Event Participant Waiver Form

Name
First Last
Birthdate*
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Group Name
Name of your emergency contact person and phone number:*
Full Name: Phone:
Responsibility Waiver*
- I Acknowledge and I agree
I acknowledge that there are risks associated with participating in physical activities and dance. My participation is completely voluntary and by participating I am assuming all risks of accident, injury, illness and death which may occur during, or as a result of, participating in this event. I agree and on my own behalf (and on behalf of my personal representatives, heirs, estate trustees or assigns) to a) release, indemnify and discharge Ines Markelle, Thrill the world, INESSENS, the “THRILL THE WORLD – Eugene” events and or venues hosting the event, henceforth know as ‘the events’ and ‘the venues’, hosting the event including respective owners, organizers, directors, agents, employees, independent contractors, volunteers or legal representatives from any and all claims and causes of action (known or unknown) which I may have arising out of “your” (“your”, “you” and “us” refers to Thrill the World, INESSENS, the events, and the venues hosting the events) negligence, including negligence of your staff, agents, representative or those of the venues, and to indemnify and save you harmless from any and all claims of causes of action (known or unknown) brought against you by any party arising out of my actions including my negligence, while at the event. Thrill the World, INESSENS, the events and the venues are not responsible for any damage to, loss or theft of personal articles or property.
Photo/Video Waiver*
- I agree
I the participant consent for my image and likeness to be photographed, filmed or videotaped in relation to the events and is the property of Thrill the World – Eugene.
‘Dismissal’ means that the participant must cease participation in events and leave the venue premises immediately. In an effort to maintain a safe environment for all participants, staff, employees, volunteers etc and the media present, at the thrill the world event we reserve the right to dismiss and remove any participant if you a) fail to follow the rules and regulations, b) cause a nuisance or a disturbance, c) commit any immoral or illegal acts, d) if we feel your actions may endanger yourself or others. We reserve the right to dismiss you without cause. Use of alcohol or illegal substances before and during the event is prohibited and will result in dismissal from the event and the premises. Participants in possession of alcohol or illegal substances before, during or while on the property of the venue hosting the event, will be dismissed and removed from the event and the premises. Legal charges may be pressed.
Type your name below if you agree.
I have read the registration form waiver; I understand the terms and conditions and agree to be bound by them.

Child's Name
First Last
Birthdate*
Parent Full Name/Guardian*
Full Name Phone:
Parent/Guardian Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Group Name
Name of your emergency contact person and phone number:*
Full Name: Phone:
Responsibility Waiver:*
- I Acknowledge and I agree
I, the parent/guardian of the minor participant, acknowledge that there are risks associated with participating in physical activities and dance. His/her participation is completely voluntary and by participating I am assuming all risks of accident, injury, illness and death which may occur during, or as a result of, participating in this event. I, legal guardian, agree on behalf of my dependent, and on my own behalf (and on behalf of my personal representatives, heirs, estate trustees or assigns) to a) release, indemnify and discharge Ines Markelle, Thrill the world, INESSENS, the “THRILL THE WORLD – Eugene” events and or venues hosting the event, henceforth know as ‘the events’ and ‘the venues’, hosting the event including respective owners, organizers, directors, agents, employees, independent contractors, volunteers or legal representatives from any and all claims and causes of action (known or unknown) which I may have arising out of “your” (“your”, “you” and “us” refers to Thrill the World, INESSENS, the events, and the venues hosting the events) negligence, including negligence of your staff, agents, representative or those of the venues, and to indemnify and save you harmless from any and all claims of causes of action (known or unknown) brought against you by any party arising out of my actions including my negligence, while at the event. Thrill the World, INESSENS, the events and the venues are not responsible for any damage to, loss or theft of personal articles or property.
Photo/Video Waiver*
- I agree
I the participant consent for my image and likeness to be photographed, filmed or videotaped in relation to the events and is the property of Thrill the World – Eugene.
‘Dismissal’ means that the participant must cease participation in events and leave the venue premises immediately. In an effort to maintain a safe environment for all participants, staff, employees, volunteers etc and the media present, at the thrill the world event we reserve the right to dismiss and remove any participant if you a) fail to follow the rules and regulations, b) cause a nuisance or a disturbance, c) commit any immoral or illegal acts, d) if we feel your actions may endanger yourself or others. We reserve the right to dismiss you without cause. Use of alcohol or illegal substances before and during the event is prohibited and will result in dismissal from the event and the premises. Participants in possession of alcohol or illegal substances before, during or while on the property of the venue hosting the event, will be dismissed and removed from the event and the premises. Legal charges may be pressed.
Type your name below if you agree. (parent/guardian)*
I have read the registration form waiver; I understand the terms and conditions and agree to be bound by them.