Hi {first_name},
{address}
{phone}
AGREEMENT/RELEASE AND WAIVER OF LIABILITY
RELEASE & WAIVER OF LIABILITY. In enrolling at EUPRAXIA, participant understands that he/she is attending the programs and using EUPRAXIA and the facilities at his/her own risk. Prior to participating in EUPRAXIA I understand that I should consult with my physician. EUPRAXIA, INC and its Franchisee(s), owners, employees or agents, shall not be liable for any damage whatsoever arising from personal injury, including death, or property loss sustained by participant or participant’s family members in or about programs on the premises. He/She does hereby fully and forever releases discharge hold harmless EUPRAXIA, INC, all associated facilities and its Franchisees, owners, employees or agents from any and all claims, demands, damages or rights of action, present or future resulting from the participation in any programs or use of the facilities. In addition, he/she agree(s) to follow the rules of conduct and safety set by EUPRAXIA, INC and it Franchisee(s), owners, employees or agents. Failure to do so may result in suspension from participation.
Consent: I, the undersigned parent or guardian/participant, do hereby grant authority to the staff at EUPRAXIA, INC and its Franchisee(s), owners, employees or agents to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do herby authorization EUPRAXIA, INC, and its Franchisee(s), owners, employees or agents and its assigns to utilize any and all photographs, pictures, videos or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or films. I specifically waive any right to compensation for the use of such photographs, pictures videos, or others likeness.
I have read the above release and waiver of liability and understand its contents. I voluntarily agree to the terms and conditions stated above. I agree that I am legally bound by its content.
{sign_date}