In checking the box below I agree that is in no way responsible for the safekeeping of my personal belongings while I attend class. I understand that classes at may be physically strenuous and I voluntarily participate in them with full knowledge that there is risk of personal injury, property loss or death. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise. I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity and have not been advised not to participate by a qualified medical professional. I certify that there are no health related reasons or problems which preclude my participation in this activity. In consideration of my application and permitting me to participate in activities and lessons held at , I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: House of Polestars, Inc., and/or its directors, officers, employees, volunteers, representatives, and agents; (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE , or persons mentioned herein and release them from any and all liabilities or claims made as a result of participation in activities or lessons at , whether caused by negligence of release or otherwise. I acknowledge that the House of Polestars, Inc., and its directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity or lesson on behalf of . I acknowledge that this activity or event 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, condition of participants, equipment, actions of other people including, participants, volunteers, and lack of hydration. These risks are inherent to participants and volunteers. I acknowledge that these activities and lessons are for my personal use and knowledge only. I understand that activities including pole dance instruction or any other activity in which I will be compensated by monetarily, and/or videotaped or interviewed must be approved by Susan Morales, CEO of . I understand that any activity besides personal use involves a different fee and acknowledgement. I understand therefore that may enforce their rights to the fullest extent of law. If you are interested in pole dance instructor certification or advanced lessons, please ask a employee. I further expressly agree that the foregoing general release and waiver of liability agreement is intended to be as broad and inclusive as permitted by the law of the State of Florida and that if any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect. I certify I have read this general release and waiver of liability agreement, and I fully understand its content. I am aware that this is a waiver of liability and a contract and I sign it of my own free will.