LIABILITY RELEASE/WAIVER FORM
All participants and students must complete this form before taking part in any classes, rehearsals, or movement activities with Hixon Dance. If participant is under age 18, a parent or guardian must also sign and agree to this form. Admission to class and/or rehearsal will not be granted if this form is not received prior to class and is not properly signed.
Waiver of Liability
I recognize and understand the risks of physical injury inherent to dance and dance training and I fully assume those risks. I hereby release Hixon Dance, its employees, dance teachers, staff, volunteers, contractors, or board of directors from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, movement activities, or performances. I agree to indemnify, defend, and hold harmless Hixon Dance, its affiliate dance studios, event sponsors, employees, contractors, teachers, or board of directors for liabilities, costs and judgments arising from acts of omissions committed by me or my child which result in injury or damage to any person or property.
Protection of Property
I understand and agree that it is my sole responsibility to safeguard my personal property while attending or participating in any classes, rehearsals, workshops, movement activities, or performances. I hereby release Hixon Dance, its affiliate dance studios, event sponsors, employees, contractors, teachers, or board of directors from all liability for loss or damage to my personal property while attending or participating in classes, rehearsals, workshops, movement activities, or performances. I also agree to abide by any rules, regulations and policies set forth by Hixon Dance.
In case of physical injury or medical emergency, I hereby authorize Hixon Dance to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that Hixon Dance will attempt to notify the person(s) I have named below as my emergency contact(s) of my condition and how to reach me.
Hixon Dance reserves the right to use photographs and videos taken during classes, workshops, movement activities, performances, or other affiliated events for the purposes of instruction or advertising and promoting Hixon Dance and its programs. Students, or parents of students who are minors, who do not wish to comply with this policy must notify Hixon Dance prior to participation in class.
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus, SARS-CoV-2 or COVID-19, has been declared a worldwide pandemic by the World Health Organization. Hixon Dance has put in place preventative measures to reduce the spread of COVID-19; however, Hixon Dance cannot guarantee that you or your child(ren) will not become infected with COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Hixon Dance classes or movement activities 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 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Hixon Dance employees, volunteers, contractors, teachers, 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 expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Hixon Dance. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Hixon Dance, its employees, contractors, teachers, 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 Hixon Dance, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Hixon Dance program, class or event.
Acknowledgement of Waiver
In signing this Release, I acknowledge and represent that I have fully informed myself of the content of the waiver and hold harmless agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed; no oral representations, statements, or inducements, apart from the written statement, have been made. I further state that I am at least eighteen (18) years of age and am fully competent to sign this agreement; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same. I further state that there are no health-related reasons or problems which preclude or restrict my or my child’s participation in this activity, and that I will pay any medical costs that may be attendant as a result of injury to me or my child.