Parental Waiver, Release of Liability, and Consent Agreement

For Participants Under the Age of 18

Surge Dance Competitions, LLC (“Surge”, “Surge Dance Comps”, “we”, “our”, or the “Company”)

Important: This is a legally binding document. Please read carefully before signing.

I, the undersigned parent or legal guardian (“Parent”) of the minor child identified below (“Participant”), hereby acknowledge, agree, and affirm the following, on behalf of myself, my child, and our respective heirs, assigns, personal representatives, and next of kin:

1. Voluntary Participation & Assumption of Risk

I understand that participation in Surge events involves physical activity and may include risks of injury, emotional distress, permanent disability, illness (including COVID-19), or death. I voluntarily allow my child to participate, fully understanding and accepting all associated risks.

2. Release and Waiver of Liability

To the fullest extent permitted by law, I release and discharge Surge Dance Competitions, LLC and its affiliates, employees, venue hosts, and agents (“Releasees”) from any and all liability for injuries, illnesses, damages, losses, or claims arising out of my child’s participation in the Event(s), whether caused by negligence or otherwise.

3. Indemnification

I agree to defend, indemnify, and hold harmless the Releasees from any claims, damages, legal fees, or losses arising from my or my child’s conduct during the Event(s).

4. Medical Authorization

I authorize Surge staff to obtain emergency medical care for my child and accept all responsibility for resulting costs.

5. Media Release

I grant Surge full rights to use my child’s image, voice, and likeness in any marketing, promotional, or commercial materials without compensation.

6. Music Licensing

I understand studios are responsible for ensuring all performance music is properly licensed. I release Surge from any claims arising from unlicensed music use.

7. No Refund Policy

I acknowledge that all fees and deposits paid are final and non-refundable, regardless of participation status. I agree not to initiate any chargebacks or payment disputes.

8. Legal Authority & Governing Law

I certify I am the parent/legal guardian with the authority to sign. This waiver is governed by the laws of the State of Utah. Disputes must be resolved in Salt Lake County, Utah.