EASTSIDE DANCE WAIVER & RELEASE
Acknowledgment of Risk: I recognize that injuries, including permanent paralysis or death, can occur in dance or activities involving height or motion; those activities include but are not limited to dancing, jumping, spinning, tumbling, stunting, and cheerleading. I certify that I have consulted a physician, to the extent that I deem appropriate, concerning the minor(s) I enroll and my participation in these activities. I represent to Eastside Dance that I, and the minor(s) I enroll, are medically fit to participate. I am also aware that participation in camps and performances may involve transportation to and from the event and that such transportation could result in injury or death in a vehicular accident. I am also aware and understand that Eastside Dance instructors will have physical contact with participants, including myself and the minors I enroll, as a part of teaching safe and proper placement during Eastside Dance programming. Additionally, the novel coronavirus, Coronavirus Disease 2019 (COVID-19), has been declared a worldwide pandemic by the World Health Organization, and COVID-19 is highly contagious. Eastside Dance follows all local and national COVID-19 guidelines and maintains cleaning practices intended to reduce the potential for the spread of COVID-19. I acknowledge and understand that any person, including myself and the minor(s) I enroll, can become infected with COVID-19 because of attending or participating in any Eastside Dance programming.
Consent and Assumption of Risk: Being fully aware of these risks and dangers, I hereby give consent for the minor(s) I enroll to participate in any Eastside Dance programming and for Eastside Dance Instructors to make physical contact, aimed at correcting bodily placement and teaching safe alignment, with myself and the minor(s) I enroll, during Eastside Dance Programming. I acknowledge and understand that dance and other Eastside Dance programming are not a substitute for medical attention, examination, diagnosis, or treatment, and that dance and other Eastside Dance programming are not recommended and are not safe under certain medical conditions. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself and to the minor(s) I have enrolled, including, but not limited to, personal injury, disability, exposure or contraction of COVID-19, death, illness, damage, loss, claim, liability, or expense, of any kind, that I or the minor(s) I enroll may experience or incur in connection with my/our attendance at or participation in Eastside Dance programming.
Waiver of and Release of Liability: In consideration of minor(s) I enroll and my participation in programs at Eastside Dance, I hereby, for myself and on behalf of the minor(s) I enroll, my family, spouse, heirs, executors, administrators, and personal representatives, forever release, waive, acquit, discharge, and covenant not to sue Eastside Dance, as well as their agents, employees, officers, directors, instructors, volunteers, spouses, assignees, heirs, guardians or personal representatives for any and all claims from injuries, illness, death, damage or loss which I have or which may occur to me or my family on account of myself, minor(s) I enroll, and family’s participation in Eastside Dance classes and programming, including those resulting from acts of negligence. I understand that Eastside Dance has relied upon this agreement in determining the extent of insurance coverage to be obtained and that in the absence of this Release, Eastside Dance would charge considerably higher fees to participants.
Consent to Medical Treatment: In the event of an accident or emergency, I hereby authorize Eastside Dance and its representatives, including its employees, contractors, teachers, coaches, and volunteers, to render first aid to myself and the minor(s) I have enrolled to the extent they deem appropriate. I further authorize Eastside Dance and its representatives to transport or arrange for the transportation of myself and the minor(s) I enroll by ambulance to a hospital or any other medical or dental facility for medical or dental treatment and I authorize Eastside Dance and its representatives, to consent to medical and dental treatment for myself and the minor(s) I enroll. I agree to hold Eastside Dance and its representatives harmless from any and all decisions made concerning medical and dental treatment for myself and the minor(s) I enroll. Additionally, I hereby agree to be personally responsible for payment of all medical and dental expenses, including transportation, which may be incurred by myself or on behalf of the minor(s) I enroll, as a result of any injury sustained while attending or participating in Eastside Dance programming, including future medical and dental expenses related to such injury.
Photography and Videography Release: I give consent for photos, videos, and recordings to be taken of myself and the minor(s) I enroll while attending or participating in Eastside Dance programming. I give permission for the minor(s) I enroll to participate in the Eastside Dance online classes using the Zoom video conferencing service and WDSP-TV (Dance Studio Pro’s online lessons platform) and understand that all live session(s) may be recorded and may contain audio & video interactions that include myself and the minor(s) I enroll. I authorize Eastside Dance to use and publish images, photographs, pictures, virtual recordings, portraits, and audio, video, and/or film footage of me and the minor(s) I enroll in all forms of media and in all manner for publication including, but not limited to, advertising and marketing campaigns, press releases, periodicals, website use, and the broadcasting of reproductions over the radio, television, and on the Internet (including social media). I understand that I and the minor(s) I enroll will not receive any monetary compensation or other compensation now or in the future. I hereby waive any right I may have to review, inspect, edit, or approve such publication and I release Eastside Dance 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 or the minor(s) I enroll.
By signing my name below, I, the participant and legal parent/guardian of any minor(s) I enroll, hereby attest that I have had sufficient opportunity to read this entire document. I further acknowledge that I understand its contents, agree to all policies stated in this document, and I agree to be bound by its terms and conditions. I further agree that this electronic signature is the legal equivalent of my manual signature on this agreement. I hereby release Eastside Dance, LLC, as well as their agents, employees, officers, directors, instructors, volunteers, spouses, assignees, heirs, guardians, or personal representatives from liability. I acknowledge and understand that I am signing a contract with legal consequences. In the absence of the participant and/or parent/legal guardian signature below, payment of fees, attendance at and participation in any Eastside Dance programming shall constitute acceptance of the conditions set forth in the release.
Legal Authority: The Parent or Court-Appointed Legal Guardian must sign for any participating minor(s) (those under 18 years of age). I certify that I am the Parent or Legal Guardian of any minor(s) I enroll in Eastside Dance programming, and I agree that I and the minor(s) I enroll are subject to all the terms of this document, as set forth above.