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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. As a result, federal, state, and local governments and federal and
state health agencies recommend social distancing and have, in many locations, prohibited the
congregation of groups of people. Per order of the Governor of Colorado, day camps with
limited numbers of students in a room are now allowed.
Ballet Durango LLC (“Ballet Durango”) has put in place preventative measures to reduce the
spread of COVID-19; however, Ballet Durango cannot guarantee that you or your child(ren) will
not become infected with COVID-19. Further, attending Ballet Durango could increase your risk
and your child(ren)’s risk of contracting 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 Ballet Durango 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 Ballet Durango may result from the actions, omissions, or negligence
of myself and others, including, but not limited to, Ballet Durango 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 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 Ballet Durango or
participation in Ballet Durango programming (“Claims”). On my behalf, and on behalf of my
children, I hereby release, covenant not to sue, discharge, and hold harmless Ballet Durango,
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 Ballet Durango, its employees, agents, and representatives, whether a COVID-19
infection occurs before, during, or after participation in any Ballet Durango program.
Signature of Parent/Guardian Date
Print Name of Parent/Guardian Name of Ballet Durango Participant(s)
Ballet Durango LLC Release Form
READ CAREFULLY. THIS IS A WAIVER AND RELEASE OF LIABILITY.
I, the below signatory, for myself and on behalf of my/my child’s heirs and personal
representatives in consideration of my child’s participation any dance or related activities while
attending Ballet Durango LLC, hereby release, acquit and forever discharge Ballet Durango
LLC, the venue where the dance classes and activities are held, and their respective
employees, agents, owners, officers, directors, partners, licensees and affiliates and all of their
respective heirs, personal administrators, executors, successors and assigns (collectively,
“Releasees”), of and from any and all claims, actions, causes of actions, demands, rights,
damages, costs, expenses, lost wages and loss of services of any kind whatsoever for personal
injury and/or property damage, known or unknown, which may result from my child’s
participation in, preparation for, or any other activity/ies associated with Ballet Durango LLC,
and whether arising before, during or after such activity/ies. I further covenant not to sue any of
the Releasees for or on account of any such injury(ies).
I hereby acknowledge that my child is physically and mentally capable of participating in classes
at Ballet Durango LLC and the activities associated therewith. Furthermore, I am familiar with
the risks incidental to participation in such events, assume full responsibility for the risk of bodily
injury or property damage due to the negligence of any of the Releasees or otherwise, while in
or upon the premises in which the classes take place and while for any purpose participating in
the aforementioned activities, and hereby expressly waive, release and forever discharge all
Releasees of and from any and all claims of any nature which may be occasioned by
participation in these events.
In further consideration of the publicity afforded to my child as a participant at the dance studio, I
hereby grant permission to Ballet Durango LLC and their affiliates and promotional agencies to
use my child’s picture, name, likeness and/or voice in any and all manner and media (including
but not limited to the internet) throughout the United States in perpetuity for the purpose of
publicizing my child’s participation at Ballet Durango LLC and for marketing, promoting or
advertising for the studio, without fee or payment of any kind, and hereby release all of such
parties from any claims that I/we may have for invasion or violation of rights of privacy, rights of
publicity or any other cause of action arising out of such usage. I hereby waive any right to preapprove
usage of my child’s picture, name, likeness or voice before release or publication and
agree that any such usage may be edited in your sole discretion.
I hereby consent to receive medical treatment which may be deemed advisable in the event of
injury, accident and/or illness during this activity.
I certify that I have read this document and fully understand its content.
Name of participant _____________________________
Signature of participant (parent must sign if participant is under 18 years old)
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