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ROCKETTES OF COLOR ALUMNAE Waiver of Liability / Photo & Video Release

First & Last Name

I hereby indemnify, release and forever hold harmless the Rockettes of Color Alumnae (“ROCA”) and Sakachez® including its owners, employees, and instructors from any and all claims of liability arising from any accident, personal injury, death, property loss or damage sustained by my child(ren)/myself/the minor child(ren) for whom I am a legal guardian (the “Participant”), while the Participant is engaged in activities connected with Rockettes of Color Alumnae (“ROCA”) and Sakachez® including classes, rehearsals, performances, or other activities, or is located on any of the premises utilized by Rockettes of Color Alumnae (“ROCA”) and/or Sakachez® before, during, or after such activities.I understand that dance activities have inherent risks of injury, and, being fully aware of all risk, I consent to have the Participant participate in the classes and activities offered by Rockettes of Color Alumnae (“ROCA”) and Sakachez®, and I accept full responsibility for providing adequate health and accident insurance coverage for the protection of the Participant. By accepting and consenting to this statement, I declare that the Participant is in good health, with no physical conditions that might prevent participation in strenuous and rigorous dance activities and other training and performance connected with dance.

I hereby consent to the photographing and/or recording of myself and of myself and of my voice and the use of these photographs and/or recordings, singularly or in conjunction with other photographs and/or recordings, for Rockettes of Color Alumnae (“ROCA”) advertising, publicity, commercial or other business purposes. I understand that the term “photograph” as used herein encompasses both still photographs and motion picture footage. I further consent to the reproduction and/or authorization by ROCA to reproduce and use said photographs and recordings of myself and my voice, for use in all domestic and foreign markets. Further, I understand that others, with the consent of ROCA may use and/or reproduce such photographs and recordings. I hereby release ROCA and any of its representatives from all claims of every kind on account of such use.

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