Participation Waiver & Media Release Agreement — Power Up with Lisa, LLC
PLEASE READ CAREFULLY – THIS IS A LEGALLY BINDING AGREEMENT. BY SIGNING OR ELECTRONICALLY AGREEING TO THIS DOCUMENT, YOU GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.
1. Release, Indemnification, and Hold Harmless Agreement
In consideration for being allowed to participate in self-defense training and/or related activities offered by Power Up with Lisa, LLC, whether in-person or online, I, the undersigned, hereby agree as follows on behalf of myself, my heirs, personal representatives, assigns, and estate:
1.1 Acknowledgment of Risks:
I understand that self-defense activities involve inherent and unanticipated risks that may result in physical or emotional injury, paralysis, permanent disability, death, or property damage. These risks may include, but are not limited to, bruises, broken bones, torn ligaments, contact with other participants or equipment, and complications due to preexisting medical conditions. I acknowledge these risks exist even with the use of safety precautions and equipment.
1.2 Voluntary Assumption of Risk:
I voluntarily choose to participate in this activity, fully understanding the associated risks. If I feel unsafe or medically unfit to participate at any time, I will stop my participation immediately.
1.3 Waiver and Indemnification:
I hereby voluntarily release, discharge, and agree to indemnify and hold harmless Power Up with Lisa, LLC and its owners, directors, officers, employees, agents, volunteers, and other participants (collectively, “Releasees”) from any and all liability, claims, or causes of action arising from negligence, to the fullest extent permitted by law. This release does not extend to claims arising from intentional or grossly negligent conduct. I agree to be responsible for any legal fees incurred by the Releasees in defending or enforcing this agreement.
1.4 Medical and Insurance Disclosure:
I affirm that I have adequate health and accident insurance or am willing to bear any costs arising from injury or damage myself. I further affirm that I have no medical or physical conditions that would prevent me from safely participating, or I am voluntarily assuming any risks associated with such conditions.
1.5 Jurisdiction:
I agree that any legal action or claim will be brought exclusively in the state where Power Up with Lisa, LLC is located, and governed by the laws of that state.
1.6 Severability:
If any part of this agreement is found to be invalid or unenforceable, the remaining provisions shall continue to be fully effective.
1.7 Legal Understanding:
I have had sufficient time to read this agreement in its entirety and consult with legal counsel if desired. I understand that participation is voluntary and that this agreement is a condition of participation. I acknowledge that not signing this agreement may result in being unable to participate or incurring increased costs.
2. Consent to Use of Audio/Video and Image Release
I hereby grant Power Up with Lisa, LLC permission to:
- Record my participation in programs or events via audio, video, and/or photography;
- Use my name, likeness, voice, image, and any recorded materials for educational, promotional, and commercial purposes in any media (including online and social media) without compensation;
- Edit, reproduce, display, publish, distribute, or otherwise use such recordings without limitation or further approval.
I release and hold harmless Power Up with Lisa, LLC from any and all claims including, but not limited to, copyright infringement, right of publicity, libel, or invasion of privacy that may arise from such use.
3. Parent or Guardian Consent (for Participants Under Age 18)
If the participant is under 18 years of age, I confirm that I am their parent or legal guardian. By checking the box on the following page, I acknowledge that I have read and understood this Participation Waiver and Media Release Agreement and agree to all terms on behalf of the minor participant, including consent to their participation and to the use of their image, voice, and likeness as described above.
By checking the box at checkout, I acknowledge that I have read and understood this Participation Waiver and Media Release Agreement in full. I agree to all terms on behalf of myself and all participants I am registering and paying for, including any minors for whom I am the parent or legal guardian. I understand that this agreement is legally binding and applies to each participant listed in my registration.