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As a participant of or as the legal guardian of the minor referred to as the participant at the Marietta Dance Academy dance & tumbling program, I attest that the participant is physically and emotionally fit to participate in programs known as and associated with any Marietta Dance Academy activity. By registering as a participant of the Marietta Dance Academy, the participant agrees to abide by our policies and regulations for safety at all times.
The registered participant or, in case of a minor, their parent(s) or guardian(s) agrees to indemnify and hold harmless the Marietta Dance Academy and its instructors associated with the program from all liabilities, claims, actions, damages, costs or expenses of any nature.
Client Release Waiver
The CDC describes COVID-19 symptoms as fever, chills, cough, shortness of breath or difficulty in breathing, fatigue, body aches, headache, sore throat, congestions, runny nose, nausea, vomiting, diarrhea, loss of taste and/or smell.
______ I understand these many of COVID-19 symptoms are similar to the common cold or flu. We will be honest and stay at home if experiencing any of these symptoms.
______ I affirm that neither myself (participant) nor anyone in my household or immediate circle currently have these symptoms.
______ I affirm that myself (participant) or anyone in my household or immediate circle have not been diagnosed or exposed to COVID-19 within the past 30 days.
______ I affirm that myself (participant) or anyone in my household or immediate circle have not traveled outside the country or any area considered as a “hot spot” in the past 30 days.
______ I understand that Marietta Dance Academy or staff cannot be held liable for any accidental exposure due to the COVID-19 virus.
Signature: _______________________________ Date of class: _____/_______/________
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