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The coronavirus, 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, wearing a face mask and have, in many locations, prohibited the congregation of groups of people.

Cheryl A. Sullivan's School of Dance, LLC (CASSOD) has put in place preventative measures to reduce the spread of COVID-19; however, CASSOD cannot guarantee that you or your child(ren) will not become infected with COVID-19.

By signing this agreement, I agree that I will not participate in or send my child to any CASSOD on-site events, including studio dance classes, summer dance camps, workshops, etc. if I/my child show any of the following symptoms of Covid-19. Symptoms may include, but are not limited to:
● Fever of 99.5 in the last 72 hours
● Persistent cough
● Difficulty breathing
● Chills
● Muscle pain
● Sore throat
● Loss of taste or smell

By signing below 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. I also acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing this Waiver as my own free act and deed with full intention to be bound by the same, and free from any representation.

This waiver will remain in effect until September 30, 2022.

PARENT/CAREGIVER/LEGAL GUARDIAN/PARTICIPANT SIGNATURE:

__________________________________________________________________ DATE:________________________


PRINT DANCER'S NAME:_________________________________________________________________

*Please return to studio or email the completed form to cassod5678@gmail.com

I hereby release Cheryl A. Sullivan's School of Dance, LLC ("CASSOD") from any and all responsibility concerning injury, theft and claims for damages which may be sustained while participating in classes or events at this school/studio/building.

Any student who has health or physical complications that may hinder their participation in any curriculum of this school, must inform the instructor and provide a doctor's note upon request.

I WAIVE, RELEASE, AND DISCHARGE CASSOD, its employees, instructors, private contractors, volunteers or administrators, from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from CASSOD.

I INDEMNIFY, RELEASE and HOLD HARMLESS, the entities or persons mentioned in this waiver from any and all liabilities or claims made as a result of participation in classes, activities or events, whether caused by the negligence
of release or otherwise. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Participant’s Signature (if under 18 yrs old, Parent or guardian must sign)

______________________________________________________________ Date Signed________________________

PRINT DANCER'S NAME:_________________________________________________________________

*Please return to studio or email the completed form to cassod5678@gmail.com

I hereby grant and authorize Cheryl A. Sullivan's School of Dance, LLC's teaching staff, instructors, private contractors and administrators the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me or my child to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, press kits, submissions to journalists, websites, social networking sites and other print and digital communications, without payment of any other consideration. This authorization extends to all languages, media, formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing.

I understand and agree that these materials shall become the property of CASSOD and will not be returned.

___________________________________________________________
Please type/print: Dancer's Name

___________________________________________________________ Date ______________________________
Signature of Parent or Guardian

*Please return to studio or email the completed form to cassod5678@gmail.com