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 extremely contagious and is believed to spread mainly from person-to-person contact. The Dance Place, LLC has put in place preventative measures to reduce the spread of COVID-19; however, The Dance Place, LLC cannot guarantee that you will not become infected with COVID-19. Further, participation could increase your risk of contracting COVID-19.
By completing 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 participation; 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 Dance Place, LLC may result from the actions, omissions, or negligence of myself and others, including, but not limited to, The Dance Place’s 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 myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation at The Dance Place, LLC. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless The Dance Place, LLC., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs 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 The Dance Place, LLC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at The Dance Place, LLC.
I represent that I have adequate insurance to cover any injury or illness I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
By completing this, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms.
I agree that I will practice safe social distancing and clean hygiene during my participation at The Dance Place, LLC .
DEBIT/CREDIT CARD AUTHORIZATION:
By proceeding and enrolling, the parent hereby authorizes The Dance Place, LLC (TDP) to
transfer funds for registration, monthly tuition, recital costuming fees and all other dance related expenditures. I understand this authorization will stay in effect for the minimum contract period, which is May of each dance year. I understand that I must submit my cancellation in writing. The tuition payment will be processed the 1st day of each month. If money is not available on the 1st, the card number will we be re-ran and a late fee will be added when the card is re-processed on the 5th of the month. I give the financial institution named and Dance Studio Pro authority to charge my account as indicated on behalf of The Dance Place, LLC to satisfy my child’s dance account.
I understand that if I do not cancel my dance membership/and or debit/credit card authorization by written 30-day notice, the new fees will be charged and will continue to be charged to my account until written notification is submitted.
MEDICAL PERMISSION AND RELEASE:
By proceeding and enrolling, the parent understands, states and accepts that policies have been read. It is known, understood, and appreciated the risks associated with participation in dance and the parent is voluntarily allowing the child to participate. In doing so, the parent is assuming all risks in dance. The parent understands that in the event of a medical emergency, management will call EMS to render assistance and that will be the financial responsibility of the parent.
PERMISSION TO PUBLISH:
By proceeding and enrolling, the parent understands and accepts that their child's image and/or name may be used to advertise The Dance Place, on the website or to highlight the child's accomplishments. The parent understands that this information may be published on the internet and other electronic media, local media sources such as, but not limited to, the newspaper, television, radio, district or school newsletter and/or publications, or used in training sessions. Under no circumstances will a child's home address or phone number be published. TDP does not sell or share email addresses.
DISCLOSURE STATEMENT: By proceeding and enrolling, the parent: (1) verifies that he/she has reviewed The Dance Place Dance School Enrollment Packet on the dance school's website (2) gives the student permission to take the class(es) indicated, (3) signifies that the student will adhere to all membership requirements and recital responsibilities, (4) denotes that The Dance Place is not liable in cases of injury to the student during instruction and/or performance, (5) gives permission to The Dance Place to seek emergency medical attention for the student, if deemed necessary. The parent verifies that he/she has medical insurance and is financially responsible for any and all expenses involved, (6) gives permission to utilize the student’s photo for advertisement purposes in news ads and on the electronic media circuit.
RELEASE OF LIABILITY:
By proceeding and enrolling, the parent understands participation in all sports and physical activities involves certain inherent risks and regardless of the care taken it is impossible to ensure the safety of the participants. Dance is an activity requiring considerable coordination, agility, and a high level of cardiovascular fitness. It involves vigorous activity many quick bursts of energy, while being alert to the dance environment. While it is a reasonably safe sport as long as guidelines are followed, some elements of risk cannot be eliminated from the activity. A variety of injuries may occur to the Dance participant. Some examples of injuries are: 1) Minor injuries such as scrapes, bruises, strains and sprains; 2) More serious injuries such as broken bones, cuts, concussions, eye injuries; 3) Catastrophic injuries such as heart attacks, paralysis and death. These and other injuries, sometimes occur in Dance as a result of hazards or accidents such as slips, being struck from motion or kick, colliding with another dancer, colliding with the wall or mirror, falling to the floor or excessive stress placed on the cardiovascular system. To help reduce the likelihood of injury you, your child and other participants are expected to follow the rules: 1) All participants are expected to wear proper dancewear/footwear that is required for that class. 2) All participants are expected to utilize proper technique. 3) All participants are expected to implement proper body alignment. 4) All participates are expected to use body awareness. 5) All participants are expected to avoid horseplay.
*You agree for you and your child to follow the preceding safety rules, all published safety rules and the rules common to dance. You agree to report unsafe practices, conditions and equipment to staff personnel.
*You agree and certify that your child possess a sufficient degree of physical fitness to safely participate in dance.
*You agree and understand that your child is to discontinue activity at any time they feel undue discomfort or stress.
*You agree and certify that you will report any health related conditions that might affect your child's ability to dance and will put in writing to inform the director immediately.
WAIVER OF LIABILITY:
By proceeding and enrolling, the parent understands and accepts in consideration of being permitted to dance, on behalf of self, child, family, heirs, and assigns, I hereby release The Dance Place, LLC. Tracey Seymour, staff, employees and volunteers from liability for injury, loss, or death to myself, while using the facility or in any way associated with the participating in the activity of dance now or in the future, resulting from the ordinary negligence or any type accident or incident.
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