WOMENS SELF DEFENSE SEMINAR 

                          REQUIRED WAIVER 
                      FILL INFO & SIGN BELOW 
 

In consideration for allowing you to participate in WOMENS SELF DEFENSE SEMINAR with Heather Grzech and/or Kevin Grzech at Murrells Inlet Community Center you sign this document, and by doing so waive and release any right which you may have or hold Heather Grzech and/or Kevin Grzech liable for and by any reason of any and all injuries which may occur to be caused to you by negligence or by any other reason while on the premises of the Murrells Inlet Community Center. 

 

I HAVE READ AND UNDERSTAND THE ABOVE WAIVER. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT: 

 

PHOTO/VIDEO RELEASE 

I authorize Myrtle Beach Tai Chi, Heather & Kevin Grzech, permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the Myrtle Beach Tai Chi, Heather & Kevin Grzech and will not be returned. I hereby irrevocably authorize Myrtle Beach Tai Chi, Heather & Kevin Grzech to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge Myrtle Beach Tai Chi, Heather & Kevin Grzech from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

 

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT: