Oath of Personal Responsibility for Massachusetts Academy of Ballet
I am aware of the potential spread of COVID-19 that could result in severe illness and
potential death. Therefore, I will, to the best of my ability, practice proper social distancing at work and
outside of the office as recommended by health department directives, as well as practice good hygiene
(handwashing, use of hand sanitizer, wearing of a mask when required, etc.) and follow other health
recommendations. Should I become ill, I promise to self-report the illness and contact Massachusetts
Academy of Ballet to let them know of my condition. I will adhere to testing guidelines and work with my own
primary care providers. Finally, if I am exposed or suspected to be exposed to COVID-19, I will self-quarantine
and notify Massachusetts Academy of Ballet.
By checking this box, I permit my child to attend and participate in all MAB activities and events.
I understand that ballet training for MAB students requires a sustained, repetitive, vigorous physical activity, usually performed on a hard or lightly padded surface without protective footwear (athletic shoes). It is also understood that dance instruction involves kinetic corrections that may include physically touching the student as part of regular class work and rehearsals. I understand that participants engage in a broad range of quick movements, bending, twisting, running, leaping and lifting, which place extreme demands on the human body, including stress of joints and ligaments, repetitive impact, and occasional falls, slips and collisions with other participants and objects. I also understand that MAB is not staffed to monitor and supervise the activities of its students at all times, and the tuition schedule does not contemplate constant supervision.
I understand that there are inherent risks of serious personal injury involved in all of the above activities as well as in the general participation in Academy activities and events. I voluntarily assume and accept such risks of personal injury and illnesses arising from my child’s attendance and participation in such activities and events. I hereby release the MAB, its owners, officers, employees and agents from all actions, claims or demands that I, my child, our heirs or representatives now have or may hereafter have for personal injuries or property damage resulting from my attendance at or participation in Academy activities and events. I agree that this release includes personal injury or property damage cause in whole or in prat by negligence active or passive, of MAB, its owners, officers, employees and agents. This release does not apply to liability for willful injury or fraud. This permission and release shall remain effective so long as you are enrolled at MAB, unless and until written revocation is delivered to the Academy.
I have carefully read this agreement; I understand and it is a full release of liability except as expressly stated above, and I agree to be bound thereby.
During the year, your child’s image/photograph may be used in one of the following ways:
• Used in our fall and/or spring newsletter
• Used in MAB programs or posters
• Posted on the MAB webpage, Instagram or Facebook.
• Used in a printed publication such as a newspaper or magazine.
Your child’s name or address WILL NOT be included with your child’s picture when publishing on the Web.
Please sign the release form below (check the box), OR email us if you do not accept the photo release. Your permission grants us approval to publicize without prior notification and remain in effect until revoked.
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