UCA/UDA THANKSGIVING TOUR AT THE WALT DISNEY® RESORT RELEASE/WAIVER FORM
As used below, “Varsity”shall mean Varsity Spirit Corporation, doing business as Universal Cheerleaders Association and Universal Dance Association,and their subsidiary and other affiliated
companies, and the officers, directors, employees, agents, successors and assigns of each of the foregoing; and “Disney”shall mean Disney Destinations LLC, U.S, INC, and their respective
parent, subsidiary and other affiliated or related companies, and the officers, directors, employees, agents, successors and assigns of each of the foregoing.
RESPONSIBILITY FOR DEBTS/DAMAGES:
I/we,_________________________________________________, parent(s)/legal guardian(s) of ______________________
___________ (my/our “child”), hereby agree to assume full responsibility for the payment of all debts incurred by my/our child during his/her visit to the Walt Disney World
®
Resort and to
reimburse Disney for any damages suffered by Disney due to acts of my/our child during that visit.
LIABILITY RELEASE:
Inconsideration of my/our child’s participation in the dance/cheer or other activities conducted by Varsity at the Walt Disney World
®
Resort on or about November
24-29, 2014 pursuant to the UCA/UDA Thanksgiving Tour (the “Event”), I/we agree to assume all of the risks inherent in any such activities (which risks may include, among other things,
muscle injuries, broken bones and other risks from falls), and on my/our and my/our child’s behalf, and behalf of my/our and my/our child’s heirs, executors and administrators, I/we release
and forever discharge each of Disney, Varsity, and the Event officials, corporate sponsors and production staff of and from all claims, judgments, losses, liabilities, damages, costs and expenses
of any nature (“Claims”) arising out of or in any way connected with my/our child’s participation in the Event and/or any activities conducted at the Event and/or otherwise occurring on the
Walt Disney World
®
Resort premises during my/our child’s visit to the Walt Disney World
®
Resort for the Event, and/or otherwise occurring during the course of my/our child’s travel to or
from the Walt Disney World
®
Resort for the Event; and I/we further agree to defend, indemnify and hold harmless Disney, Varsity, and the Event officials, corporate sponsors and production
staff from and against any and all such Claims, including, without limitation, attorneys’ and other professionals’ fees and costs. I/we understand that this release and indemnity agreement
includes,without limitation, any Claims based on the negligence, action or inaction of Disney, Varsity or any Event officials, corporate sponsors or production staff, except for gross negligence,
and covers personal and bodily injury (including death), and property damage, whether suffered by my/our child before, during or after my/our child’s participation in the Event, and covers
any claim from the lawful publication or any other lawful use of any photograph, videotape or narrative in any media. I/we acknowledge that Disney makes no representations or warranties,
either express or implied, regarding the condition or suitability of the venue for the Event. This release and indemnity shall be governed by the laws of the State of Florida.
Signature of Parent of Legal Guardian
X
____________________________________________________________________________________ Date:____/____/____
SUPERVISION:
A chaperone/adult (age 21 or over) is required to attend with participants. This chaperone will be responsible for the participants at all times. I/we acknowledge that
Disney and Varsity are not responsible for supervising my/our child.
APPEARANCE AGREEMENT:
I/we understand that Varsity will arrange for photography during the Event which may include my/our child and that Varsity will arrange videotapes,
DVD’s, podcasts and videocasts that may feature the Event (the “Program”). I/we hereby grant Disney, Varsity, their successors, assignees, licensees, sponsors and television networks and all
other commercial exhibitors the exclusive right to photograph and/or videotape my/our son/daughter and further utilize my/our son/daughter’s name, event participation, hometown, face,
likeness, voice and appearance as part of the Program, or in any other media, in advertising and promoting the program and in advertising and promotions relating to Varsity,or the WALT
DISNEY WORLD Resort without reservation or limitation. In granting this license,I/we understand that neither Disney nor Varsity is under any obligation to exercise any of their rights, licenses
and privileges herein granted. I/we waive any right to approve the program, promotion or copy. RESPONSIBILITY DISCLOSURE NOTICE: Varsity acts only as an agent in connection with
the tour offered herein and its liability is limited. The travel services including air transportation, carriage by land, hotel accommodations, restaurants, and related services are provided by
independent third parties not under the control of Varsity. Varsity shall NOT bear any liability to the passenger or any person claiming by or through the passenger for any injury, damage, loss,
accident, delay, or irregularity which may be occasioned either by reason of or through the acts or defaults of any company or person engaged in conveying the passengers or in carrying
out the arrangements of the tour and/or performance events, venues, etc. As a direct or indirect result of acts of God, dangers incident to fire, breakdown in machinery or equipment, acts of
governments or other authorities, civil disturbances, strikes, riots, acts of terrorism, theft, unhealthy conditions, pilferage, epidemics, quarantines, medical or customs regulations,or from any other
cause beyond the control of Varsity. Varsity shall not be liable for any losses or additional expenses due to delay or changes in schedule or other causes. The right is reserved to decline, to
accept, or to retain any tour passenger should such person’s health or general deportment impede the operation of the tour to the detriment of other passengers. No refunds for your portions
of unused services can be made unless agreed to prior to the scheduled deadlines. Your retention of tickets, reservations, or bookings after issuance shall constitute a consent to the above
and agreement on your part to convey the contents of this RESPONSIBILITY DISCLOSURE NOTICE to your traveling companions. Payment of any deposit or final payment shall be deemed
to constitute consent by each passenger to these terms. Baggage is carried at the owner’s risk and baggage insurance is strongly recommended.
MEDICAL RELEASE:
I/we authorize Disney and/or Varsity to procure at my/our expense, any medical care reasonably required by my/our child during his/her visit at hospitals or
facilities chosen by Disney and/or Varsity. I/we have listed below any medication that my/our child is currently taking. I/we will ensure that my/our child brings the medication with him/her
to the Walt Disney World®Resort and that my/our child is responsible for taking the medication. I/we have also listed below any medications my/our child is allergic to.
Medications my/our child is taking (if any): _______________________________________________________________________________________________________
Medications my/our child is allergic to (if any): ____________________________________________________________________________________________________
School Name (of minor): ______________________________________________________________________________________________________________________
This Release/Waiver shall be governed by the laws of the State of Florida. It is recommended that the
parent of legal guardian of the participant in this tour have his or her own attorney review this
WAIVER/RELEASE FORM before indicating his or her consent by signing this consent form.
Signature of Parent/Guardian
X
___________________________________________ Date:____/____/____
Signature of Witness
X
__________________________________________________ Date:____/____/____
Parent Email Address: _______________________________________________________________________
EMERGENCY INFORMATION (Not traveling with the minor)
Name: __________________________________________________________________________________
Address: _________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________
Daytime phone: (____)___________ Evening phone: (____)____________ Cellphone: (____)_____________
