I am over 18.

I, the above signed, have received and read and agree with the policies and liability waivers provided by the Mazza-Smith Dance, Inc.

FOR ALL STUDENTS
Please do not wear costumes to class. It distracts other dancers and confines certain floor exercises.

DANCE WITH ME (BABIES)
Comfortable clothing for both caregiver and baby.

BOYS (TWO-YEARS-OLD)
T-shirt, shorts and black dance shoes.

GIRLS (TWO-YEARS-OLD)
Hair secured back, pink leotard, pink tights and pink ballet shoes.

BOYS (AGES THREE AND UP)
Tucked in, solid white t-shirt, black bike shorts or black sweat pants and black dance shoes.

FOR ALL GIRLS (AGES THREE AND UP)
For modesty and comfort, a dancer's legs must be covered. Please purchase convertible tights from a local dance shop. Dancewear is designed to allow students freedom of movement, while allowing a teacher to see the lines and musculature of the body. For these reasons simple styles are best. Please select dancewear with these goals in mind - to maximize freedom of movement and to minimize distractions.

GIRLS (PRESCHOOL TO KINDERGARTEN)
Low bun, solid light pink leotard, pink convertible tights and pink ballet shoes. Ballet skirts with elastic waistbands may be worn. Ballet skirts that require tying are not acceptable.

GIRLS (1ST TO 3RD GRADE)
Hair secured back, solid light pink or black leotard, pink or tan convertible tights and pink ballet shoes, tan tap shoes and tan jazz shoes. Ballet skirts with elastic waistbands may be worn. Ballet skirts that require tying are not acceptable. Dance pants are permitted during jazz and tap classes.

GIRLS (4TH GRADE AND UP)
Hair secured back, solid black or navy leotard, pink or tan convertible tights, tan tap shoes and tan jazz shoes. Students may wear short shear ballet skirts of any color and any style. Cover-ups may not be worn during ballet class. Dance pants are permitted during jazz and tap classes.

ADULTS
Please select dancewear with these goals in mind - to maximize freedom of movement and to minimize distractions.

RELEASE AND WAIVER OF LIABILITY

Participant desires to participate in certain dance classes and activities of Mazza-Smith Dance, Inc. (or "Mazza Smith Dance") and assures that Participant is in proper physical condition to take part in dance classes and activities. Participant understands that there are risks of physical injury associated with, arising out of, and inherent to dancing and activities associated therewith. In recognition of this acknowledged risk of injury, and in consideration of being accepted into such dance classes or activities Participant hereby freely, voluntarily and without duress executes this release and waiver of liability under the following terms:

1. RELEASE AND WAIVER. Participant does hereby release and forever discharge and hold harmless Mazza-Smith Dance, Inc., its Members, employees and agents for any and all claims or demands for damages, loss of services, costs and expenses in any way resulting from any and all injury to Participant or property of Participant arising directly or indirectly out of Participant’s participation in any and all activities of Mazza-Smith Dance, Inc. Including, but not limited to, dance classes, competitions, travel to and from competitions , and any and all activities associated or performed in conjunction with Mazza-Smith Dance, Inc.

Participant understands that this Release discharges Mazza-Smith Dance, Inc. from any liability or claim that the Participant may have against Mazza-Smith Dance, Inc. with respect to any bodily injury, personal injury, illness, death, or property loss or damage that may result from Participant’s activities with Mazza-Smith Dance, Inc., whether caused by the negligence of Mazza-Smith Dance, Inc. or its Members, employees, agents or otherwise. Participant also understands that Mazza-Smith Dance, Inc. does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to, medical, health, or disability insurance in the event of injury or illness.

2. INDEMNIFICATION. Participant agrees to indemnify and hold forever harmless Mazza-Smith Dance, Inc., its Members, employees and agents from any and all injuries, damages, costs and attorney’s fees whatsoever which may arise out of the Participant’s participation in any Mazza-Smith Dance, Inc. activity or presence on the premises of the dance studio or satellite location.

3. INSURANCE. Participant understands that Mazza-Smith Dance, Inc. does not carry or maintain health, medical or disability insurance coverage for any participant. Participant understands that it shall be Participant’s sole responsibility to obtain his or her own medical or health insurance coverage for Participant.

4. PHOTO AND VIDEO RELEASE. Participant does hereby grant and convey unto Mazza-Smith Dance, Inc. all right, title and interest in any and all photographic images and video or audio recordings made by Mazza-Smith Dance, Inc. during Participant’s participation of any activities and may use these for advertising purposes.

5. MISCELLANEOUS. This Release and Waiver of Liability shall be binding on the heirs, successors and personal representatives of the Participant. Participant expressly agrees that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Florida, and that this Release and Waiver of Liability shall be governed by and interpreted in accordance with the laws of the State of Florida

6. MINORS. If Participant is a minor, the parent having legal custody and/or the legal guardian of the minor hereby represents and warrants that they have the legal authority to bind the Participant and such parent or guardian executes this release on behalf of the minor and the parent or guardian, and this release is binding on the child and such parent or guardian.

7. COVID-19 PANDEMIC. I knowingly & willingly consent to return to Mazza-Smith Dance, Inc. premises during the COVID-19 Pandemic. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be contagious. It is impossible to determine who has it and who does not; given the current limits in virus testing.

Standard precautions reduce risk as much as possible, but this is how the virus could be spread. A weak or compromised immune system (including, but not limited to, conditions like diabetes, asthma, COPD, cancer treatment radiation, chemotherapy and any prior or current disease or medical condition), can put you at greater risk for contracting COVID-19.

8. COVID-19 DISCLOSURE. Please disclose any indication of having been exposed to COVID-19, or whether you have experienced any signs or symptoms associated with the COVID-19 virus. If you have been exposed or could potentially be a carrier, please stay home for everyone's safety.

By coming to the Mazza-Smith Dance, Inc. premises, the undersigned agrees to the following:

I do not have a temperature 100.4 or greater. *

I do not experience shortness of breath or had trouble breathing. *

I do not have a dry cough. *

I do not a sore throat. *

I have not been in contact with someone who has tested positive for COVID-19. *

I have not tested positive for COVID-19. *

I have not been tested for COVID-19 and are awaiting results. *

I have not traveled outside the United States by air or cruise ship in the past 14 days. *

I have not traveled within the United States by air, bus or train within the past 14 days. *

I understand that due to frequency of visits of other customer visits at the studio, the characteristics of the virus, and the, that I have an elevated risk of contracting the virus simply by being in the studio.*

I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. The CDC recommends social distancing of at least 6 feet for a period of 14 days to anyone who has. *

I understand that I will contact the studio if I develop any COVID-19 symptoms within the next 14 days. *

WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT

The undersigned, on behalf of himself or herself and such participating children and any personal representatives, heirs, and next of kin (hereinafter referred to as "the undersigned") hereby acknowledges, agrees and represents that he or she has inspected and carefully considered such premises, equipment and facilities and/or the affiliated program and that the undersigned finds and accepts same as being safe and reasonably suited for the use or participation by the undersigned and such participating children.

In addition, the undersigned acknowledges that novel coronavirus ("COVID-19") infections have been confirmed throughout the United States, including Duval County and the State of Florida.

In accordance with the most recent guidance and protocols issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), the Florida Department of Health (FDH), for slowing the transmission of COVID-19, the undersigned hereby agrees, represents and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and programs of Mazza-Smith Dance, Inc. (other than any exclusively online services and programs) within 14 days after (i) returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice, (ii) exposure to any person returning from areas subject to a CDC Level 3 Travel Health Notice, or (iii) exposure to any person who has a suspected or confirmed case of COVID-19. The CDC Travel Health Network is continuously updating this list and the undersigned agrees that they are aware of this list and the countries listed.

The undersigned agrees to check the CDC Travel Health Notices list (https://www.cdc.gov/coronavirus/2019-ncov/index.html) prior to utilizing the facilities, services and programs of Mazza-Smith Dance, on a daily basis if necessary.

Coronavirus disease 2019 (COVID-19) is a virus (more specifically, a coronavirus) identified as the cause of an outbreak of respiratory illness first detected in Wuhan, China.

The undersigned hereby agrees, represents and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and programs of Mazza-Smith Dance, Inc. if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath or (ii) has a suspected or diagnosed/confirmed case of COVID-19.

The undersigned agrees to notify Mazza-Smith Dance, Inc. immediately if he or she believes that any of the foregoing access/use restrictions may apply.

Mazza-Smith Dance, Inc. has taken certain steps to implement recommended guidance and protocols issued by the Public Health Agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above.

The undersigned acknowledges and agrees that Mazza-Smith Dance, Inc. may revise its procedures at any time based on updated recommended guidance and protocols issued by the Public Health Agencies and further, agrees to comply with Mazza-Smith Dance Inc.'s revised procedures prior to utilizing the facilities, services, and programs of Mazza-Smith Dance, Inc.
The undersigned fully understands and appreciates both the known and potential dangers of utilizing the studio, services, and programs of Mazza-Smith Dance, Inc. and acknowledges that use thereof by the undersigned and/or such participating children may, despite the Mazza-Smith Dance Inc.'s reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.

By signing below, I AGREE THAT IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER MAZZA-SMITH DANCE FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY ON-SITE OR OFF-SITE PROGRAM AFFILIATED WITH MAZZA-SMITH DANCE, INC., THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:

THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH PARTICIPATING CHILDREN, FAMILY, SPOUSE, ESTATE, EXECUTORS, ASSIGNS, HEREBY RELEASES, PERSONAL REPRESENTATIVES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE Mazza-Smith Dance, Inc., its directors, affiliates, officers, volunteers, agents, employees and owner from all liability to the undersigned or such participating children and all personal representatives, assigns, heirs and next of kin of the undersigned or such participating children for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, the undersigned or such participating children (or any person who may contract COVID-19, directly or indirectly, from the undersigned or such participating children) whether caused by the negligence, active or passive, of the Mazza-Smith Dance, Inc. or otherwise while the undersigned or such participating children are in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with Mazza-Smith Dance, Inc.

The undersigned AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS Mazza-Smith Dance, Inc., its directors, officers, employees, volunteers and agents, and each of them, from any loss, liability, damages or costs they may incur, whether caused by the negligence, active or passive, or otherwise while the undersigned or any participating child is in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with Mazza-Smith Dance, Inc.

The undersigned understands and agrees that Mazza-Smith Dance, Inc. is
not required to provide insurance to cover the undersigned or such participating children in the event they suffer an illness, injury, death, property loss, theft or damage of any sort upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with Mazza-Smith Dance, Inc.

The undersigned understands and agrees to defend Mazza-Smith Dance, Inc. from and against any and all costs, expenses, damages, claims, lawsuits, judgments, losses, and/or liabilities arising either directly or indirectly from or related to any and all claims made by or against any of the Released Pares due to bodily injury, death, loss of use, monetary loss, or any other injury from or related to my use of The undersigned understands and agrees space, supplies, tools, equipment and/or materials, whether caused by the negligence of the Released Pares or otherwise specifically related to COVID-19.

The undersigned agrees and acknowledges that use of the Mazza-Smith Dance Inc. facilities and services, and participation in the Mazza-Smith Dance Inc. programs, may involve inherent danger and risk, including, without limitation, the risk of physical illness or injury, death or property damage.

THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or such participating children due to negligence, active or passive, or otherwise while in, about or upon the premises of Mazza-Smith Dance Inc. and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with Mazza-Smith Dance, Inc. The undersigned acknowledges that any illness or injuries that the undersigned or such participating children contract or sustain may be compounded by negligent first aid or emergency response of the Release and waive any claim in respect thereof.

The undersigned AGREES THAT THE FOREGOING ASSUMPTION OF RISK, RELEASE, AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the laws of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

ELECTRONIC CONSENT

The undersigned has CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE, AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM MAZZA-SMITH DANCE, INC. IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT ANY MAZZA-SMITH, INC. PREMISE AND ANY ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILDREN) AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO MAZZA-SMITH DANCE, INC. THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).

The undersigned has READ THE TERMS AND THIS ASSUMPTIONS AND RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND AGREE TO ITS TERMS.

POLICIES AND PROCEDURES

FEES AND PAYMENTS
- Registration fee is due when enrolling in class(es).
- Tuition is due at the first of every month. A late fee of $15 will be billed to my account after the Tenth.
- Tuition is not transferable to the preceding or following month, or to another student. No Refunds will be made for missed classes. Classes may be made up during the season. Please email the office to ask for an appropriate class.
- Prorating is not allowed unless I or my child is a new student beginning in the middle of a month.
- Returned checks to Mazza-Smith Dance, Inc. due to insufficient funds or charge cards that are declined, will be required to cover the check or charge with a money order, cashier's check, or cash plus a $35.00 returned check/declined charge fee, within 3 days of notification.
- A $160 recital fee is due on or before April 1st. This fee helps cover the cost of rehearsals, space rentals, staffing and production costs.

HOLIDAYS
- Classes are not held on any day your Satellite school is closed. No make-up class will be issued for any regular school closings. Examples are Christmas, New Year's, Easter and Spring Break.
- If Halloween falls on a weekday, evening classes held after 4:00 PM will not be in session.
- Studio classes will only close for major holidays such as Christmas, New Year's, Spring Break, Easter and Labor Day.

COSTUMES, RECITALS AND TEAM
- Costumes for satellite classes are included in the monthly tuition fee. Students that register after the initial date will be asked to pay a catch-up costume fee.
- Costumes for main studio classes are $80 per costume. 50% of the costume cost is billed in September. The remaining 50% is billed in November.
- Every student whose tuition/fees are paid up-to-date will have an opportunity to perform on stage and show family and friends how he or she has progressed through the year. There is a Recital Fee of $160 per family, which includes (6) tickets per family.
- Videotaping of performances in a theater showcase is strictly prohibited. This is to prevent obstruction and disturbance of the other audience members as well as compliance with the various theater regulations. A professional video company will tape the performances and make the DVD’s available for purchase.
- Performing Team Costumes are purchased and retained by Mazza-Smith Dance and dancers are permitted to use them throughout the Performing Team season. Performing Team members are responsible for keeping the costumes in good repair and will be responsible for the cost to repair or replace any damaged or missing costumes or accessories. Parents are also required to purchase a Team Uniform.
- Competition Team Costumes will be purchased and retained by parents. Competition Team fees vary according to the number of students in each piece and the time required for instruction and evaluation prior to competitions. These are detailed online under Tuition and Special Services.

CLASS PLACEMENT
- Instructors determine class placement, and dancers and parents should support their decisions and selection of class placements.
- In order for a dancer to be in a higher-level class, additional training may be necessary in the form of extra classes.

DRESS CODE
- It is important for every dancer to feel like a dancer while in class. Therefore proper dress code must be followed at all times. Please review the Dress Code details at mazzasmithdance.com.

FOOD AND BEVERAGES
- Students are allowed to bring water bottles and eat snacks outside of the dance room. No other food or liquids are allowed at the main dance studio.

REGISTRATION AND WITHDRAWAL
- If a student withdraws after the school year begins, they will be charged and responsible for payment of tuition unless the director is notified in writing via email. Notification must be received before the 1st day of the month.
- If there are less than 4 students in a class we will drop the class to 30 minutes, since it's considered a semi-private. The fee stays the same and the class is not canceled. Classes at 30 minutes will remain the same.

PERSONAL PROPERTY
- Mazza-Smith Dance, Inc. is not responsible for lost personal items. At the studio, every first Monday of the month, items held for 30 days or more will be given to charity. At our satellite locations, we will bring any lost items to the facility's lost and found.
- Dance education requires “hands-on” instruction as well as verbal instruction. Instructors will regularly correct dancers by touching their arms, legs, feet, hips, back and head to move them in the correct position. Instructors will also verbally correct dancers during class.

SAFETY
- For safety precautions students will be asked to remain in the lobby in the studio for a parent or guardian to pick them up. Students are asked not to leave the studio without a parent or guardian accompanying them outside. For our Satellite locations, students will be released to parents or taken to extended day. In the event there is not extended day, the instructor will stay with your child and parents will be responsible for paying the instructor $20 for every 15 minutes they are late.
- Observations are allowed in class during dancer's first class. We will from time to time have parent invite day, usually in February and again in May. Thereafter at no time are observers to enter the classroom, as this action will interrupt the class.
- Any questions or concerns regarding the policies or decisions made by the artistic director or any staff member should be addressed directly to the office via a personal appointment with that person should be requested. We ask that you address the issue as it affects you or your child individually and privately by contacting the director via email.
- A positive attitude and continued support is necessary in order for any dancer to - The Artistic Director and Instructors of Mazza-Smith Dance, Inc. will discuss only yours or your child’s progress and not other student's progress. Do not compare your child to other dancers and always be supportive and nurturing to the development of dance.
- Mazza-Smith Dance, Inc. reserves the right to refuse services to any person who does not support the policies and decisions set forth.

OUR COMMITMENT TO PRIVACY
Your privacy is important to us. To better protect your privacy we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used. To make this notice easy to find, we make it available on our homepage.

THE INFORMATION WE COLLECT
This notice applies to all information collected or submitted on the Mazza-Smith Dance website. On some pages, you can order products, make requests, and register to receive materials. The types of personal information collected at these pages are:

Name
Address
Email Address
Phone Number

THE WAY WE USE THE INFORMATION
We use the information you provide about yourself when placing an order only to complete that order. We do not share this information with outside parties except to the extent necessary to complete that order.

We use the information you provide about someone else when placing an order only to ship the product and to confirm delivery. We do not share this information with outside parties except to the extent necessary to complete that order. We use return email addresses to answer the email we receive. Such addresses are not used for any other purpose and are not shared with outside parties.

We use non-identifying and aggregate information to better design our website and to share with potential advertisers. For example, we may tell an advertiser that X number of individuals visited a certain area on our website, or that Y number of men and Z number of women filled out our registration form, but we would not disclose anything that could be used to identify those individuals.

Finally, we never use or share the personally identifiable information provided to us online in ways unrelated to the ones described above without also providing you an opportunity to opt-out or otherwise prohibit such unrelated uses.

SECURE INFORMATION
All Credit Card information is collected and encrypted by DanceStudioPro.com, Paypal.com and Authorize.net according to best security practices by a trusted name and industry leader in online secure payment.

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM FOR VIRTUAL DANCE CLASSES

I, PARENT/GUARDIAN OF SAID CHILD(REN) HEREBY ASSUME ALL OF THE RISKS OF MY CHILD(REN) PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THESE VIRTUAL DANCE CLASSES, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective reigns as follows:

1. I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of my child(ren), for my child(ren)’s death, disability, personal injury, or actions of any kind which may hereafter occur to my child(ren) during VIRTUAL DANCE CLASSES BY THE FOLLOWING ENTITIES OR PERSONS: Mazza-Smith Dance and/or their directors, employees, contractors or volunteers.

2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE THE FOLLOWING ENTITIES OR PERSONS: Mazza-Smith Dance and/or their directors, employees, contractors, or volunteers from any and all liabilities or claims made as a result of participation in VIRTUAL DANCE CLASSES, whether caused by the negligence of release or otherwise. I acknowledge that Mazza-Smith Dance and their directors, employees, contractors, and volunteers are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting VIRTUAL DANCE CLASSES on their behalf. I acknowledge that this activity may involve injury. The risks include, but are not limited to, those caused by jumping, leaping, turning, stretching, tumbling, or any dance movement, lack of hydration, improper dance floor, and actions of other people including, but not limited to, participants, and/or producers of the activity.

I hereby consent for my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during VIRTUAL DANCE CLASSES. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT. I SIGN IT OF MY OWN FREE WILL. I certify that my child(ren) is physically fit, has sufficiently prepared or trained for participation in VIRTUAL DANCE CLASSES, and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child(ren)’s participation in VIRTUAL DANCE CLASSES. I acknowledge that this Accident Waiver and Release of Liability Form will be used by Mazza-Smith Dance the directors, employees, contractors, volunteers, class holders, sponsors, and organizers of the activity in which my child may participate, and that it will govern my child(ren)’s actions and responsibilities at VIRTUAL DANCE CLASSES. I permit my child to participate in VIRTUAL DANCE CLASSES.