Halloween Pole Show 4 | WAIVER 2025

Participant Waiver, Risk Acknowledgment & Media Release

Venue: Bain Mathieu, Montreal QC

Date of Performance: Friday, October 24, 2025

SECTION 1: ASSUMPTION OF RISK & WAIVER OF LIABILITY

By signing this form, I acknowledge and fully understand the following:

1. I am voluntarily participating in the Halloween Pole Show 2025, an independently organized live pole dance and performance art show, taking place at Bain Mathieu, a unique and historic venue (formerly a swimming pool) with special structural features including deep stage areas, stairs, and backstage space.

   
   

2. I understand that this year’s show includes:

   1. A 14-foot pole mounted to a truss rigging system

   2. Use of professional-grade lighting and sound effects

   3. A 360° audience layout with no traditional backstage

   4. Variable surfaces and an immersive environmental design

I acknowledge that pole dance and performance arts involve inherent risks, which may include (but are not limited to):

• Falls from height

• Muscle strain, sprains, fractures, joint dislocations, concussions

• Cuts, bruises, rope/fabric burns, or other surface injuries

• Equipment failure or malfunction

• Exposure to fog, flashing lights, or loud music, which may affect visibility or coordination

• Distractions from the audience, slippery shoes or costumes, and unexpected contact injuries

  
  

I freely assume all such risks, including those arising from negligence, and understand that in rare but possible scenarios, these risks could result in serious injury, permanent disability, or death.

I confirm that I am physically and mentally fit to participate and have consulted a medical professional if necessary. I accept full responsibility for my actions and safety throughout my participation in the event.

I hereby waive, release, and hold harmless the organizers (Margaux Brissiaud, Cecilia Lico), Calmness Hotline, Mtlpoleshoots, their collaborators, crew, volunteers, venue staff, and sponsors from any and all liability, claims, demands, losses, or damages — including those related to personal injury, property damage, theft, or death — whether caused by negligence or otherwise.

I understand that this waiver is binding and applies to all participation in rehearsals, test runs, and the live performance itself.

SECTION 2:

PERFORMANCE CONDUCT

I agree to:

• Respect the venue, fellow artists, and production staff

• Avoid risky behaviour, unsafe movement, or props that haven’t been pre-approved

• Follow tech guidelines for lighting, music, and prop placement

• Arrive on time and be fully ready for stage testing and performance
  

I also understand that:

• Nudity &  items that could scratch the pole are not permitted

• Liquids, body paint that could stain the pole and floor, feathers, fog, or other unusual materials are not permitted.

• Please submit all props for approval.

• Use of fire is strictly prohibited

SECTION 3:

DEADLINES & COMMUNICATION

📆 Key Dates

Performer Info Sheet & Waiver Deadline September 27, 2025

https://docs.google.com/spreadsheets/d/155BYOZlflS_0dwwfrZBH0qGhfS_IygWQr389WdmEiZo/edit?usp=sharing

Final Edited Music Due October 10, 2025

https://drive.google.com/drive/folders/12XlRHC2IaZQJMvnTLrkXu19PW-Ppz14M?usp=sharing

Music Late Fee ($45) Applies October 11–17th

Music Submissions Closed After October 20th — Not accepted

Stage Test Slot (optional, 3 min max) October 24th, 2025

Performance Day October 24, 2025 | 5:30 PM Backstage

SECTION 4: MEDIA RELEASE

By signing below, I give permission to Mtlpoleshoots, Margaux Brissiaud & Cecilia Lico, the Halloween Pole Show, Calmness Hotline, and affiliated photographers/videographers (including Artsyvisuals & Raw Movement & the Tran) to:

• Film and photograph my performance

• Use footage for promotional, archival, and social media purposes

  
  

I understand that:

• Performance videos may be purchased from Artsyvisuals

• Gift cards from ArtsyVisuals may be used for a future shoot

• I can opt out of public footage use by emailing organizers at least 1 week prior so we can worn photographer and videographer.

SECTION 5: FINAL AGREEMENT

I certify that:

• I’ve read and understood this waiver

• I voluntarily accept all risks

• I agree to abide by the performance guidelines and deadlines

• I understand my participation is subject to removal if safety or professional standards are not met