Volunteer Registration Form

Volunteer Registration Form

Please complete the form below. You will receive an email with confirmation, along with your own copy for your records.
Volunteer's name

First Name Last Name
Date of Birth

Month Day Year
Date
Parent or Guardian (if applicable)

First Name Last Name
E-mail
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Cell Phone

Area Code Phone Number
Emergency Contact

In the case of an emergency, please contact:
Contact's name

First Name Last Name
Phone number
Relationship
Tell me about yourself
What is your favorite activity or thing to do?
What is your favorite kind of music?
What is your favorite food?
What is your favorite TV or movie character?
Why are you most interested in volunteering?
Waiver/Release of Liability/Media Consent

Registration requires completion of the attached Waiver and Release of the Liability Form and Media Consent Form.
Waiver and Release of Liability

In consideration of Volunteer’s participation in dance-related activities in the Out Loud Dance class operated by Out Loud Studios, LLC (“Activities”), the Volunteer or Parent or Legal Guardian of Student hereby agrees as follows:

I fully understand and acknowledge that Volunteer is donating his/her services and Volunteer is not entitled to and does not expect any present or future salary, wages or other benefits for these volunteer services. Volunteer will not be considered to be an employee, agent or affiliate of Out Loud Dance.

I fully understand and acknowledge that: (a) Volunteer’s participation in the Activities may result in injury or illness, including, without limitation, bodily injury, or other ailments; (b) these risks and dangers may be caused by the negligence of Out Loud Dance or its agents, employees, organizers, chaperones, other volunteers, or representatives (collectively, the “Out Loud Dance Parties”), the negligence of students or guests, accidents, breaches of contract, the forces of nature or other causes; and (c) these risks and dangers may arise from foreseeable or unforeseeable causes. In consideration of Out Loud Dance permitting Volunteer to participate in the Activities, I hereby assume, as Volunteer or on behalf of Volunteer, all risks and dangers and all responsibility for any losses and/or damages arising in connection with the Activities, whether caused in whole or in part by the negligence or other conduct of the Out Loud Dance Parties, or by any other person.

I hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify the Out Loud Dance Parties from and against any and all claims, actions, causes of action, liabilities, suits and expenses (including, without limitation, reasonable attorneys’ fees) that are related to, arise out of or are in any way connected with Volunteer’s participation in the Activities, whether caused in whole or in part by the negligence or other conduct of the Out Loud Dance Parties, or by any other person. I specifically understand that I am releasing, discharging and waiving any claims or actions that I or my family members, personal representatives and heirs may have presently or in the future for the negligent acts or other conduct of the Out Loud Dance Parties.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND, BY SIGNING IT, I AGREE THAT IT IS MY INTENTION TO EXEMPT, RELIEVE AND INDEMNIFY THE OUT LOUD DANCE PARTIES FROM ALL LIABILITY FOR PERSONAL INJURY OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE ARISING FROM OR RELATED TO VOLUNTEER’S PARTICIPATION IN THE ACTIVITIES. I UNDERSTAND THAT THIS IS A LEGALLY BINDING AGREEMENT. I AGREE THAT, IN THE EVENT THAT ANY PROVISION OF THIS AGREEMENT IS HELD OR ADJUDICATED TO BE CONTRARY TO ANY STATUTE OR LAW OR OTHERWISE UNENFORCEABLE, THE REMAINING PROVISIONS SHALL BE ENFORCEABLE TO THE FULLEST EXTENT PERMITTED BY LAW.
Volunteer's name

First Name Last Name
Volunteer's Signature *

Clear
Today's Date

Month Day Year
Date
If Volunteer is a minor or otherwise lacks the ability to execute:

I am the parent or legal guardian of the above volunteer. I hereby give my permission for Volunteer to participate in the Out Loud Dance class and agree that the information provided is accurate and complete. I have the legal right to consent to and, by signing below I hereby do consent to the terms and conditions of this Waiver and Release.
Name of Parent or Guardian

First Name Last Name
Signature of Parent or Legal Guardian

Clear
Media Consent Form

Out Loud Studios, Inc. (the “ Company”), desires to photograph and/or videotape the individual named below (“Volunteer”) during participation in the Out Loud Dance class and related activities periodically for presentations and program development including but not limited to educational presentations, promotional materials, potential fundraising opportunities, community events, and volunteer recruitment. Participant hereby gives the Company permission for such use and publicity for such purposes, according to the terms and conditions set forth in this Media Consent Form.

Participant hereby authorizes the Company to display, publicly perform, exhibit, transmit, broadcast, reproduce, record, photograph, digitize, modify, alter, edit, adapt, create derivative works, otherwise use Participant’s image, voice, performance, and other personal characteristics and all materials created by or on behalf of the Company. Such use includes but is not limited to printed materials, videos, company website, YouTube, Facebook and other social media websites and applications. All photographs and videos become property of Out Loud Studios, Inc.
The volunteer may participate in photographed and videotaped performances.

Yes No
BY SIGNING, I, (VOLUNTEER/PARENT/LEGAL GUARDIAN) HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND ALL OF THE TERMS OF THIS FORM. I UNDERSTAND THAT IF I DO NOT SIGN THIS WAIVER, PARTICIPANT WILL NOT BE ABLE TO PARTICIPATE IN THOSE PERFORMANCES AND ACTIVITIES WHERE PHOTOGRAPHY AND/OR VIDEOTAPING WILL OCCUR.
Volunteer/Parent /Guardian

First Name Last Name
Volunteer/Parent /Guardian Signature

Clear
Any additional questions or comments?
Should be Empty:

Volunteer Registration Form

Emergency Contact

Tell me about yourself

Waiver/Release of Liability/Media Consent