I certify that my child is in proper physical condition to take part in dance class. I realize that there are certain risks possible in the art of dancing. I agree to assume the risk of all injuries or damage that may arise from my child’s participation in the dance classes at Carver Dance Center, Inc.

In regards to COVID-19, I affirm that neither I or anyone in my household has had COVID-19 in the past two weeks. I understand that I must stay home if anyone in my house has any of the following symptoms: fever, cough, or headache. I will immediately inform Carver Dance Center, Inc. if I, or someone in my household has been diagnosed with COVID-19. I will Immediately stop taking classes for two weeks.

I understand that Carver Dance Center, Inc. has taken all necessary precautions to make the studio a safe and healthy place. I understand that Carver Dance Center, Inc. cannot be held liable by any misinformation on this form or health history given by each student.

In consideration of the above, I hereby release, and hold harmless, Carver Dance Center, Inc., its teachers, and director from, and against, any liability or claim for any property loss or injury sustained as a result of my child’s participation in classes at Carver Dance Center, Inc.

I HAVE READ THIS RELEASE AND UNDERSTAND ITS MEANING



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Signature of Parent or Guardian

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Date


If your child has any medical conditions that you feel her/his teacher should be aware of, please indicate them here:
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