Name *

First Name

Last Name

PHOTO/VIDEO RELEASE * *

I give permission for Soulshine Performing Arts Collective Experience co to use the participant's photograph and other media such as film and quotations, on promotional material printed or virtual and publications, including social media for which it may be suitable.

I consent to this photo release waiver.

ACKNOWLEDGMENT OF RISK/LIABILITY WAIVER * *

I hereby waive, release, and discharge all claims against Soulshine Performing Arts Collective Experience co for damages, death, personal injury and property damage which I may hereafter accrue as a result of participation in this activity. I understand that accidents can occur in this activity. Knowing the risks of this activity, I do hereby agree to assume those risks. By signing this release, I understand that if the participant is hurt during this activity, I have waived my right to hold a lawsuit against Soulshine Performing Arts Collective Experience co. This release is intended to discharge and hold harmless Soulshine Performing Arts Collective Experience co, instructors and collaborators from liability.

I herby waive all claims.

ELECTRONIC SIGNATURE * *

Full Legal Name

First Name

Last Name