Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus, COVID-19 has been declared a worldwide pandemic by the World Health Organization, COVID-19 is a danger and is believed to spread mainly from person-to-person contact. As a result, federal, state and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Amy’s Academy of Dance Arts has put in place preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you or your child(ren) will not become infected with COVID-19, Further, attending group classes could increase your risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending classes and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the studio may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Amy’s Academy of Dance Arts instructors, employees, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death, illness, damage, loss, claim, liability or expenses of any kind, that I or my child(ren) may experience or incur in connection with attendance to any activity in the dance studio (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the studio, its employees, coaches, agents and representatives, of and from Claims, including liabilities, claims, actions, damages, cost or expenses of any kind arising out of or relating thereto, I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Amy’s Academy of Dance Arts, its employees, agents, coaches and representatives, whether a COVID-19 infections occurs before, during or after participation in any Amy’s Academy of Dance Arts program or event.
Dancers Name Date
Signature of Parent/Guardian Date
Print Name of Parent/Guardian Date
AMY'S ACADEMY OF DANCE ARTS INC
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK,
AND INDEMNITY AGREEMENT (“AGREEMENT”)
I represent that I understand the nature of this activity and that I am qualified, in good health and in proper physical condition to participate in such activity. I acknowledge that if I believe event conditions are unsafe or I am unable to safely perform any activity, I will immediately discontinue participation in the activity.
I fully acknowledge, understand, appreciate and agree, that this activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the Releasees named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the activity.
I further acknowledge, understand, appreciate and agree that my participation at Amy’s Academy of Dance Arts may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of Amy’s Academy of Dance Arts or others, and assume full responsibility for my participation and exposure in any Amy’s Academy of Dance Arts program or event.
I hereby release, discharge, and covenant not to sue Amy’s Academy of Dance Arts, it's administrators, directors, agents, officers, volunteers, employees, contractors, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of the premises on which the activity takes place, (each considered one of the “RELEASEES” herein) from all liability, claims, demands, losses, damages, on my account caused or alleged to be caused in whole or in party by the negligence of the RELEASEES or otherwise, including negligent rescue operations and further agree that if, despite this release, waiver of liability, and assumption of risk, I or anyone on my behalf, makes a claim against any of the RELEASEES, I will indemnify, defend, and hold harmless each of the RELEASEES from any loss, liability, damage, or cost, which any may incur as the result of such a claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, and I understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. I agree that if any portion of this Agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
Printed name of participant(s) Date: _
I, hereby covenant and promise that I am the minor’s parent and/or legal guardian, and on behalf of myself and the minor, understand the nature of the above referenced activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I further understand the risk of exposure to injury and/or infectious diseases, for myself and my child, as a participant, spectator at events, classes or our presence at the facility. I hereby release, discharge, covenant not to sue and AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS each of the RELEASEES from all liability, claims, demands, losses or damages on the minor’s or my account caused or alleged to have been caused in whole or in part by the negligence of Amy’s Academy of Dance Arts or otherwise, including, but not limited to injury, negligent rescue operations, and/or exposure to infectious diseases and I further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above RELEASEES, I WILL DEFEND, INDEMNIFY, AND HOLD HARMLESS each of the RELEASEES from any litigation expenses, attorney fees, loss liability, damage, or cost which any RELEASEE may incur as the result of any such claim.
PHOTO & VIDEO RELEASE:
I grant consent for my/minor’s picture to be taken or filmed while participating in activities at Amy’s Academy of Dance Arts. I authorize Amy’s Academy of Dance Arts to use and publish images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor in all forms of media and in all manner for publication including, but not limited to, advertising and marketing campaigns, press releases, periodicals, and website use. I hereby waive any right I may have to review, inspect, edit or approve such publication and I release Amy’s Academy of Dance Arts from any claims I may have against it for use of such images, photographs, pictures, portraits and audio, video and/or film footage of me.
*TUITION IS DUE MONTHLY FROM SEPTEMBER THROUGH MAY. CLASSES ARE NOT HELD AFTER THE RECITAL, WHICH IS USUALLY SCHEDULED MID MAY. TUITION REMAINS THE SAME EACH MONTH, REGARDLESS OF WHETHER THE MONTH HAS 5 OR 3 CLASSES! TUITION IS DUE ON THE FIRST DANCE CLASS OF EACH MONTH AND CAN BE PAID ON DANCE STUDIO PRO THROUGH AUTO PAY. WE ARE MOVING TO AUTO PAYMENTS TO MAKE THEM EASIER AND MORE CONVENIENT FOR EVERYONE. YOU WILL HAVE TO HAVE A DEBIT/CREDIT CARD ON FILE. PAYMENTS WILL BE PROCESSED THE FIRST OF EVERY MONTH. ALL FEES, COSTUME DEPOSITS, COMPETITION FEES WILL BE TAKEN FROM DSP. MAKE SURE YOU CHECK YOUR PARENT PORTAL REGULARLY. THERE IS A $10.00 LATE FEE FOR TUITION NOT ABLE TO BE PROCESSED AFTER THE 10TH OF THE MONTH. DANCE STUDIO PRO WILL FIGURE IN LATE FEES IF YOUR CARD HAS INSUFFICIENT FUNDS. LATE FEES WILL ACCUMULATE, AND ROLL OVER MONTHLY. ALL ACCOUNTS MUST BE PAID IN FULL IN ORDER FOR THE STUDENT TO PARTICIPATE IN EXTRA DANCE EXPENSES (dance recitals, dance pictures, competitions, costume orders, etc.) STUDENTS WILL NOT BE ALLOWED TO REMAIN IN CLASS IF TUITION IS NOT PAID AFTER ONE MONTH OR SPECIAL ARRANGEMENTS HAVE NOT BEEN MADE. DANCE FEES ARE NON-REFUNDABLE.
**EVEN IN A PANDEMIC, FEES ARE NON-REFUNDABLE, THEY WILL BE CREDITED ACCORDINGLY.
**ALL RETURNED CHECKS WILL BE CHARGED A $25.00 HANDLING FEE.
**A NON-REFUNDABLE COSTUME DEPOSIT OF $25 PER CLASS WILL BE DUE SEPTEMBER 15th, AND FINAL COSTUME BALANCE MUST BE PAID IN FULL BY OCTOBER 15th DUE TO THE UNCERTAINTY OF DELIVERY DATES! WE WILL HAVE A FUNDRAISER IN SEPTEMBER TO HELP WITH COSTUME FEES. COSTUME FEES ARE NON-REFUNDABLE.
In exchange for my child’s voluntary participation with Amy’s Academy of Dance Arts, I agree to the following:
I recognize that there are certain inherent rights and risk of injury associated with the activity of dance. I assume full responsibility for any personal injury to my child. I further release and discharge Amy’s Academy of Dance Arts, its employees, instructors, and all affiliated entities for any injury, loss or damages arising out of participation in class and all other activities associated with Amy’s Academy of Dance Arts.
I have read and understand all “Studio Info” and will uphold all the information given.
I have read and understand this agreement and I understand that I am voluntarily releasing certain legal rights.
Parent or Guardian
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