JGT Solo Performance Registration

Performer Name^*

Performer Address

Street Number

Street Address

City

State

Country

Zip Code

Performer Home Phone (parent's number in case of child)

Performer's Mobile Phone (parent phone in case of child)

Email Address^*

Performer's Birth Date^*

Performance Description and/or information you want to provide^*

Video Consent^*

I hereby give permission on behalf of my all participants to be videotaped by private/professional videographer during Jains Got Talent event. Video of the performance may be used for public and/or commercial purpose to promote further future events and activities including, but not limited to social media, on the web, and/or via email distribution.

I, as a choreographer/coordinator/ performer/ parent of our item hereby release the JSMW from all claims, demands, and liabilities whatsoever in connections with the above.

I accept

Waiver and Release of Liability^*

WAIVER AND RELEASE OF LIABILITY

In consideration of the risk of injury while participating in Jains Got Talent show  (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter  into  this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Jain Society of Metropolitan Washington (hereby referenced as “JSMW”), located at 1021 Briggs Chaney Road Silver Spring, MD 20905 their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to  illness,  paralysis, death, damages, economic or emotional loss, that I may suffer as a direct result of my  participation in the aforementioned Activity, including traveling to and from an event  related  to  this  Activity.

I am voluntarily participating in the aforementioned Activity and I am participating in the Activity entirely at my own risk. I am aware of the risks associated with traveling to and from as well as participating in this Activity, which may include, but are not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my own or others' negligence, conditions related to travel, or the condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this Activity, including travel to, from and during this Activity.

I agree to indemnify and hold harmless JSMW against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any   claims made by me or by anyone else acting on my behalf. If JSMW incurs any of these types of expenses, I agree to reimburse JSMW all expenses borne by JSMW.

I acknowledge that JSMW and their directors, officers, volunteers, representatives, and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of JSMW.

I acknowledge that this Activity may involve a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/or producers of the event.

I acknowledge that I have carefully read this "waiver and release" and fully understand that it is a release of liability. I expressly agree to release and discharge JSMW and all of its affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, from any and all claims or causes of action and I agree to voluntarily give up or   waive any right that I otherwise have to bring a legal action against JSMW for personal injury or property damage.

To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of JSMW, its agents, and employees.

In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

In the event that any damage to equipment or facilities occurs as a result of my or my family's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

This Agreement was entered into at arm's-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength.  Both the Participant(s) and JSMW agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered  into.

In the event that any provision contained in this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.

I, the undersigned participant, affirm that I am of the age of 18 years or older and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will.

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian.

Emergency Contact (Name, Phone)^*

Link to the video for your qualification:^*

Record a video of yourself and upload to YouTube or Facebook or any of your favorite sites and paste the link to the video here.

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Monday - Friday	Saturday & Sunday
Prakshal Pooja
Starts 7:00 am	Starts 8:00 am
Chandan Pooja
Ends 1:00 pm	Ends 3:00 pm
Daily Aarti: 7:00 pm