The Oklahoma Swing Syndicate Minor Consent and Waiver of Liability, Photo Consent and Emergency Medical Treatment

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To: The Oklahoma Swing Syndicate (“TOSS”)
and its officers, directors, instructors and
employees (collectively, “TOSS affiliates”)

I, as a parent or legal guardian, for myself and on behalf of my heirs, personal representatives, successors
and assigns and for and in consideration of the opportunity for my child or ward to participate in dances,
classes, social events and other activities sponsored, managed, supported or provided by TOSS (“TOSS
activities”), agree, acknowledge and consent as follows:
a. I acknowledge that my child’s or ward’s participation in all TOSS activities will be voluntary.
b. I fully understand the risks and dangers my child or ward faces while participating in TOSS activities,
and I agree to assume the entire risk of personal injury (including death), loss and damage which my
child or ward might suffer to his or her person or property as a result of his or her participation in TOSS
activities, even if such personal injury, death, loss or damage is caused in whole or in part by the
negligence (except gross negligence) of TOSS of any TOSS affiliate.
c. I release, discharge and hold harmless TOSS and the TOSS affiliates from, and agree not to sue
TOSS or any TOSS affiliates for, any and all claims, demands, rights and causes of action (collectively
“claims”) which I have or may have against them or any of them in any way resulting from, arising out
of or occurring in connection with any TOSS activity or my child’s or ward’s participation in any TOSS
activity whether or not such claims result from negligence (except gross negligence) on the part of
TOSS or any TOSS affiliate.
d. I agree to indemnify, defend and hold harmless TOSS and the TOSS affiliates from any and all claims
(including attorney fees and costs) which arise from my child’s or ward’s negligence, recklessness or
other misconduct at any TOSS activity
e. I consent to emergency medical care provided by ambulance or hospital personnel in the event of my
child's or ward’s injury or illness at any TOSS activity.
f. I consent at no charge to the use of my child’s or ward’s photograph in brochures, publications, videos,
websites, slide presentations and other forms of media.

I have read and fully understand this Waiver of Liability, Photo Consent and Emergency Treatment Release.

Required

Name of minor: *

Birth date of minor: *

YYYY

Signature of parent or legal guardian: *

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