House of Mayhem Dance Studio Rental Application




Дата канвертавання22.04.2016
Памер104.36 Kb.

House of Mayhem Dance Studio Rental Application

Applicant Information


Name:

Date of birth:

DL

Phone:

Current address:

City:

State:

ZIP Code:

Own Rent (Please circle)

How long have you lived in this area?




Previous Address

City:

State:

ZIP Code:

Employment Information


Please provide your current employer information: or Current Dance Studio where you teach

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Where do you teach dance lessons?

Emergency Contact


Emergency Contact that we can call upon should there be any incidences

Address:

City:

State:

ZIP Code:

Phone:

Relationship:

Workshop name


Name of Workshop 2 hr minimum studio rental time




Date(s) for Studio Rental

Time In and Time Out

Reoccurring or 1 (one) time.



















What is the purpose for renting studio?

Head Count Total Expected

Are there minor participants?

Who is in charge of cleaning










Rental Agreement Fee made between authorized representative of House of Mayhem Dance Studio and Applicant




House of Mayhem Representative Signature

Print Name




Applicant Signature

Key Deposit


$$ 150.00

50% down of total rental fees

Security Deposit

$$ 125.00

Returned upon close out of rental

References





























I am hereby consent that the personal information submitted within this rental application is for the purpose of applying to rent out studio space, furthermore, necessary for any verification necessary to obtain a time slot for the studio rental, and that the forthright information disclosed is true, correct and accurately current . I acknowledge that falsifying information is against the law, and consequently, if found guilty of any dishonest information, or falsifying said application herein; will result in immediate termination of any agreement or promises made verbal or otherwise t supersede all previous agreements made for consideration of renting the studio. This is an agreement & contract by me and between the House of Mayhem Dance Studio. I hereby agree to all studio rental terms and conditions set forth in the rental policies. All legal documents; Rental Agreement, Studio Policy, & Waiver of Rights, Release of Liability Assumption of Risks, must all be signed to execute our contract agreement.

Signature of applicant:

Date:

Print Name

Date:


Waiver of Rights & Release of Liability Assumption of Risks” Agreement

 
On behalf of myself, and/or as legal guardian/parent of minor child participant, OR; as a Visitor, Workshop Dance Instructor, Studio Renting Instructor,  Academy Dancer, Studio Instructor, Associated Dancer, Workshop Instructor, Visiting Featured Instructor, Promoter, Affiliate and or Associate. I hereby agree & consent to voluntarily release, forever discharge, indemnify and hold harmless the House of Mayhem Dance Studio, its founder, owner, property owner, manager, company dance instructors, that  includes the facility &  property as the “RELEASED PARTIES from any legal claims, demands, or cause of legal action, on my behalf released from being included in such claims with possible allegations of any negligent acts or omissions thereof; especially of the “Released Parties mentioned within; specifically at any time, day or night, while on, in, or about the premises & property of House of Mayhem Dance Studio. My participation/membership involving the physical activity of dancing, also includes; all theft, loss, or damage to personal property; further includes any such claims which allege negligent acts or omissions of RELEASED PARTIES.  

 

Furthermore, I agree that I hold the sole personal responsibility for all assumptions of risks, for myself, students in my class, as academy dance member, during my studio rental with all class/workshop participants or during my visit that includes anyone I may bring to the studio. I understand there may be known and unknown risks directly or indirectly which relates to personal injury, bodily injuries, damage, theft, or loss, accidentally or not; directly or indirectly.  I further acknowledge that I am legally responsible financially obligated, personally for myself, or minor child participant, dance academy member, as an instructor renting the studio for a workshop, visiting instructor, or otherwise participant, for any/all medical, legal, theft, damages over all, its financial liabilities & obligations.  I hereby agree to forever discharge, indemnify and release the House of Mayhem Dance Studio, its founder, owner, property manager & owner, dance instructors, academy choreographer, workshop instructor, all affiliates & associates; as the “Released Parties”.


Addendum A: Defined: Whereas: “Studio Renter” Instructor for Workshop/Classes my  signature below represents my agreement to be bounded by the terms of this agreement, additionally, I acknowledge & agree that releasing all legal rights & liabilities, indemnify, & forever discharging the “Released Parties” herein; must include all of my students, visitors or anyone I have attending my workshops, furthermore, it is agreed that I provide this “Waiver of Rights Release of Liability Assumption of Risks” completion of signature, 3 days prior to the date of my studio rental and workshop. I am aware and agree that the completion of said waiver must have all signatures for the “Rental Agreement” (separate contract) to commence execution of any agreements made. That prior to anyone on my behalf who enters the premises for my workshop/class is legally bounded by the same terms of this waiver agreement which can include but is not limited to any harm, bodily injuries, theft, loss or damage to personal property. I attest to witnessing all students/participants signatures herein; of which enters all students, visitors in my workshop to legally be bounded by the same terms and conditions. I agree to be responsible for my group and that a “Rental Agreement” has been signed and commenced executing a detailed “Rental Agreement” (attached) to this waiver. All signatures provided within is a legal agreement made between myself, my students, my membership/participation, my minor child, as dance instructor, studio renter instructor, or otherwise as visitor or participant, all of which agrees to be bounded by the legal terms of this agreement, commencing upon the date of entering the property, finalizing upon the date of signature and all contracts, waivers, registrations but not limited to; all that is completed with signatures.

I understand fully, that while on, in, or about the premises/property of the House of Mayhem Dance Studio. The assumption of risks are effective as of the date I enter the property & premises, that I do hereby waived that right, continuing to waive my rights to any & all legal allegations, accusations, or actions, relating to injury, personal property damage loss, theft or the injury of my students, minor child participant, reiterating the discharge, forever releasing the “Released Parties” from any responsibility for myself, minor child, workshop students, or otherwise participant the legal obligation or responsibility, financially, physically, or otherwise, obligated in any form. That the parties mentioned above are not responsible for me, that I fully assume my own risks, for myself, my minor child, or students.  Additionally, I am aware that where physical activities included in dance classes, whether taught or learning, in sessions, workshops & when practicing, includes; but not limited;


Extensive physical activity conducted at HOM property on or about the premises can cause personal injury, accidentally, or not, that I am aware of the existing risks involved in such physical activity.


I hereby acknowledge and agree with my consented signature herein: willingly, voluntarily, waive my rights to the terms of this agreement, by signing this “Release of Liability Waiver & Assumption of Risk Agreement”, on behalf of myself or that of my minor participant, workshop students, academy student dancer, visitor, or otherwise participant. I am/We are agreeing to enter into this legal binding contract commencing waiver of rights upon the day I enter the premises, finalized details executed upon the date of signature below 
HOM Studio Property Policy Regulates: All visitors entering the property must sign in the “Sign in Book” in addition to completing this “Waiver of Rights, Release of Liability Assumption of Risks” Agreement, No Exceptions

___________________________________      _________________________________ ______________________

Responsible Party Renting (Print Full Name) Signature Date



___________________________________      _________________________________ _____________________

Instructors Name(s)


, Are there any students under the age of 18. If so, please stipulate this in the Waiver. Staff.




Signatures Below Represents:, All students attending renter’s workshop, consent & agree to be bounded by same terms of said same “waiver of rights, release of liability assumption of risk”, studio renter must bare witness to attest on behalf of all student’s authorized signatures for completion to any agreements, or legal contracts, this must be provided 3 days prior to the date of workshop, submit to business office, or call with questions for Linda 650-286-0557


Date

Participant Full Name (Print)

Address

Phone

Sign




























































































































































































































































DATE __________ WORKSHOP__________________________INSTRUCTOR________________

DATE __________ WORKSHOP__________________________INSTRUCTOR________________


Signatures Below Represents:, All students attending renter’s workshop, consent & agree to be bounded by same terms of said same “waiver of rights, release of liability assumption of risk”, studio renter must bare witness to attest on behalf of all student’s authorized signatures for completion to any agreements, or legal contracts, this must be provided 3 days prior to the date of workshop, submit to business office, or call with questions for Linda 650-286-0557


Date

Participant Full Name (Print)

Address or Email

Phone

Sign





























































































































































































































































База данных защищена авторским правом ©shkola.of.by 2016
звярнуцца да адміністрацыі

    Галоўная старонка