Disclaimer form

In regards to my child’s or my participation in Dr Owl Academy program and activities, I acknowledge all of the following:

1. Voluntary Participation. I acknowledge that I have voluntarily registered my child(ren) and/or myself to participate in Dr Owl Academy’s programs and activities.

2. Readiness for Program and Activity. I certify that my minor and/or myself is/are in good health and has/have no physical condition that would prevent our participation in the program.

3. I understand that there are possible risks and dangers inherent in participating in Dr Owl Academy’s programs and activities. I also understand that in agreeing to participate in Dr Owl Academy’s programs and activities, I hereby give up my rights to hold both the Dr Owl Academy and all those associated with its programs liable for any injury or damage which I may suffer while participating in these activities.

Knowing this, and in consideration of being permitted to participate and/or receive instruction in Dr Owl Academy’s programs, I hereby voluntarily release Dr Owl Academy, and all those associated with its programs from any and all liability resulting from or arising out of my participation and/or receipt of instruction in Dr Owl Academy’s programs and activities.

I understand and agree that I am releasing not only the entities set forth in the paragraph above, but also the officers, agents, volunteers, and employees of those entities. I understand and agree that this release will have the effect of releasing, discharging, waiving and forever relinquishing any and all actions or causes of action that I may have or have had, whether past, present or future, whether known or unknown, and whether anticipated or unanticipated by me, arising out of my participation and/or receipt of instruction in Dr Owl Academy’s programs and activities. This release constitutes a complete release, discharge and waiver of any and all actions causes of action against Dr Owl Academy, its officers, agents, volunteers, and employees. I understand and agree that this release applies to personal injury, property damage, or wrongful death, which I may suffer, even if caused by the acts or omissions of others. I understand and agree that by signing this release, I am assuming full responsibility for any and all risks suffered by my child(ren) while participating in Dr Owl Academy’s programs and activities.

4. I/we minors/adults/guardians named OR family members later/previously enrolled or present during activities, do hereby give Dr Owl Academy irrevocable right to use my name (or any fictional name), picture, portrait, or photograph/video/sound-recording/ literary-work in all forms and in all media and in all manners, without any restriction as to changes or alterations (including but not limited to composite or distorted representations or derivative works made in any medium) for advertising, trade, sale, promotion, exhibition, or any other purposes, and I/we waive any right to inspect or approve the photograph/video/sound-recording/literary-work or finished versions including written copy that may be created and appear in connection therewith.


I/we hereby release and agree to hold harmless the Photographer, his or her assigns, licensees, successors in interest, legal representatives and heirs from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the photographs/video and other media, or in any processing tending toward the completion of the finished product.


I/we agree that Dr Owl Academy, and its assigns, licensees, successors in interest, legal representatives, and heirs own the copyright to the photographs/videos/ sound-recordings/literary-work (including any photographs/videos/ sound-recordings/literary-works made by participants, family, visitors, friends or helpers in relation to the program) and I/we hereby waive any claims I/we may have based on any usage of the photographs or works derived therefrom, including but not limited to claims for either invasion of privacy or libel. I/we or my parent/guardian am/is of full age and competent to sign this release. I/we agree that this release shall be binding on me, my legal representatives, heirs, and assigns. I/we have fully read this release and am/are entirely familiar with its contents.

5. Knowing and Voluntary Execution. I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND MY CHILD(REN), AND Dr Owl Academy, AND SIGN IT OF MY OWN FREE WILL. My signature on this document is intended to bind not only myself but also my successors, heirs, representatives, administrators, and assignees.