NEW ORLEANS PELICANS PELIKIDS DANCE TEAM AUDITION RELEASE FORM

In consideration of my child’s participation in the audition for the PeliKids Dance Team (the “Audition”), I, ______, on behalf of myself and my child agree, to the extent permitted by applicable law, to release and hold harmless New Orleans Pelicans NBA, LLC, the National Basketball Association, and, if applicable, owners, managers, and lessees of premises used for the event, as well as each of their respective owners, members, boards, employees, agents, owners, officers, directors, partners, licensees and assigns (collectively, “Releasees”), of and from any and all claims, actions, causes of actions, demands, rights, damages, costs, expenses, lost wages and loss of services of any kind whatsoever for personal injury (including death) and/or property damage, known or unknown, which may result from my child’s participation in, preparation for, or any other activity/ies associated with the Audition, and whether arising before, during or after such activity/ies. I further agree not to sue any of the Releasees for or on account of any such injury(ies).

I hereby acknowledge that my child is physically and mentally capable of participating in the Audition and any associated activities. Furthermore, I am familiar with the risks incidental to participation in such events, and, to the extent allowed by applicable law, I expressly assume all risk of injury, (including permanent disability, death or property damage), howsoever caused or arising, while in or upon the premises in which the audition is taking place and while participating in the aforementioned activities, and I will defend, indemnify and hold harmless the Releasees from any and all claims of any nature which may be occasioned by participation in these events.

Further, I, individually and on behalf of my child, willingly agree to comply with all security measures, policies, and guidelines of the New Orleans Pelicans NBA, LLC and those of the owners/lessees/managers of the venue where the event is held.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. I FULLY UNDERSTAND ITS TERMS AND UNDERSTAND THAT I, INDIVIDUALLY AND ON BEHALF OF MY CHILD, HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I represent that I am the parent or legal guardian of and that we both shall be bound hereby. (Name of child)

Signed this day of , 2016.

Signature:

Signatory Information (Please Print)

Name of Parent/Guardian: ______

Name of Child: ______

Age of child: ______

PERMISSION – USE OF LIKENESS AND MEDICAL TREATMENT

My child is participating in the audition for the PeliKids Dance Team (the “Audition”) and related events and activities. I, the undersigned, individually and on behalf of my child, grant full permission to New Orleans Pelicans NBA, LLC, the National Basketball Association, and each of their affiliates and promotional agencies the authority to use my child’s picture, name, likeness and/or voice in any and all manner and media (including but not limited to the internet). In doing so, I understand they will have the irrevocable right, with no obligation to compensate me further, to record, edit, use and re-use, on a worldwide basis, in perpetuity, on all forms of media including film, television, and electronic media and in all means of distribution and publication the acts, pictures, poses, statements and sound materials resulting from my child’s participation and that they may do so without any form of compensation. I agree to release and hold harmless all such parties from and against any and all claims, causes of action or demands relating to or arising out of such use and I hereby waive any right to pre-approve usage of my child’s picture, name, likeness or voice before release or publication and agree that any such usage may be edited in the sole discretion of those to whom I have granted such permission.

______Signature of Parent/Guardian, Date Individually and on behalf of minor

I also grant permission for my child to receive emergency medical treatment.

______Signature of Parent/Guardian, Date Individually and on behalf of minor

I HAVE READ THIS AGREEMENT AND I FULLY UNDERSTAND ITS TERMS. I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

(PLEASE PRINT)

NAME OF CHILD ______

PERMANENT ADDRESS: ______

CITY/STATE/ZIP CODE: ______

PHONE NUMBER(S): ______

NAME OF EMERGENCY CONTACT:______

PERMANENT ADDRESS: ______

CITY/STATE/ZIP CODE: ______

PHONE NUMBER(S): ______