Accident and Participant Release and Waiver of Liability


I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT, (hereinafter collectively, “Releasor”, “I” or “Me”, which terms shall also include Releasor’s parents or guardian if Releasor is under 18 years of age) including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event.

I certify that I am in good health and that I do not pose a health risk to the public.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: I choose to participate in classes, performances, workshops, and other activities at Premier Dance and Athletics of my own free will and certify that I am in proper physical condition to take part in such activities.
If I have questions about whether an activity is suitable for me to pursue, I will consult my health care provider in making that decision. If I have any known physical vulnerabilities, conditions, or injuries, I agree to discuss them with the instructor or director before participating.

Release
By signing this document, I release Premier Dance and Athletics and their director, owner, students, teachers, staff, employees, volunteers, associates (collectively referred to in this document as “PDAA”) from any liability or claim that I or my representatives may have against PDAA with respect to any bodily injury, personal injury, illness, death, or property loss or damage that may result from my participation at DAB.

I voluntarily release and forever discharge and hold harmless PDAA from any and all claims or demands for damages, loss of services, costs and expenses, injuries, attorney fees, and any other call for reparation from any and all injury to me or my property arising in any way from my participation in dance classes, camps, intensives, workshops, performances, the use of PDAA equipment or facilities, and any activities associated with PDAA.

Risks
I understand that there are risks of physical injury associated with, arising out of, and inherent to dancing. These risks include the potential for slips and falls, sprains, strains, dislocations, soft tissue injuries, musculoskeletal injuries, podiatric conditions, and other risks not specified here.
Understanding these risks and the potential for others not listed, I agree to personally accept and assume all of the risks present in my participation at PDAA. My participation at PDAA is entirely voluntary, and I choose to participate in spite of the risks.

Dance education, Gymnastics training, and cheerleading sometimes requires hands-on instruction as well as verbal instruction. Instructors may correct athletes by touching their arms, legs, feet, hips, back and head to move them in the correct position or providing spotting. I acknowledge that this is a common standard in athletic instruction and understand that it is my responsibility to communicate clearly with my instructor and/or the director if any form of touch is unacceptable to me.

Medical Treatment and Insurance
I understand that PDAA does not assume any responsibility for or obligation to provide financial or other assistance in the event of injury or illness, including but not limited to medical, health, or disability insurance or support.

I authorize PDAA to obtain necessary medical or dental treatment, including first aid, ambulance transport, hospitalization, or such other care necessary for my health and welfare in an emergency. If my insurance does not cover emergency treatment that is deemed necessary and sought for me by PDAA, I agree to be responsible for and pay all costs incurred on my behalf.

I release and discharge PDAA from any claim which may arise on account of any first aid, treatment, or service rendered in connection with my participation in PDAA activities or with the decision by any representative or agent of PDAA to consent to medical or dental treatment on my behalf in an emergency.

I understand that PDAA does not carry or maintain health, medical, dental, or disability insurance coverage for any participant. I agree to take responsibility for full payment of any emergency medical or dental costs related to my PDAA participation regardless of whether I have insurance coverage.

Photographic Release
I understand that DAB may take photos and video recordings of me during my participation in PDAA classes and activities. I convey to PDAA full rights and interest in these recordings. I understand such recordings may be used in advertising or other published materials, physical or virtual.

If I do NOT consent to being photographed or video-recorded, I will make sure the director is aware of my concerns and the reasons for them, I will be proactive about avoiding being photographed or recorded, and I will not hold PDAA harmless if a photo or video recording of me is released despite all precautions. I understand that this choice may limit my participation in performances that are routinely photographed and/or videotaped.

Miscellaneous
While a participant at PDAA, I agree to abide by any rules, codes, and policies that are put in place by DAB before or at any time during my participation. If I have questions or concerns regarding any policies or decisions made by any representative of PDAA, I agree to bring them promptly and specifically to the director or instructor's attention.

If I file a lawsuit against PDAA, I agree to do so solely in the state of Virginia and agree that the substantive law of Virginia shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

Signature
Upon registration in the online portal system (Dance Studio-Pro), all parents or guardians of a student, and adults must check that they have read this document, understand it in its entirety, and agree to be bound by its terms, before participating in classes.
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.


PARENT / GUARDIAN WAIVER FOR MINORS (Only if student is under 18 years old)
The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the activity or event, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor, the parents, of the legal guardian.

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

Date Signed________________________

Accident and Participant Release and Waiver of Liability


I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT, (hereinafter collectively, “Releasor”, “I” or “Me”, which terms shall also include Releasor’s parents or guardian if Releasor is under 18 years of age) including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event.

I certify that I am in good health and that I do not pose a health risk to the public.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: I choose to participate in classes, performances, workshops, and other activities at Premier Dance and Athletics of my own free will and certify that I am in proper physical condition to take part in such activities.
If I have questions about whether an activity is suitable for me to pursue, I will consult my health care provider in making that decision. If I have any known physical vulnerabilities, conditions, or injuries, I agree to discuss them with the instructor or director before participating.

Release
By signing this document, I release Premier Dance and Athletics and their director, owner, students, teachers, staff, employees, volunteers, associates (collectively referred to in this document as “PDAA”) from any liability or claim that I or my representatives may have against PDAA with respect to any bodily injury, personal injury, illness, death, or property loss or damage that may result from my participation at DAB.

I voluntarily release and forever discharge and hold harmless PDAA from any and all claims or demands for damages, loss of services, costs and expenses, injuries, attorney fees, and any other call for reparation from any and all injury to me or my property arising in any way from my participation in dance classes, camps, intensives, workshops, performances, the use of PDAA equipment or facilities, and any activities associated with PDAA.

Risks
I understand that there are risks of physical injury associated with, arising out of, and inherent to dancing. These risks include the potential for slips and falls, sprains, strains, dislocations, soft tissue injuries, musculoskeletal injuries, podiatric conditions, and other risks not specified here.
Understanding these risks and the potential for others not listed, I agree to personally accept and assume all of the risks present in my participation at PDAA. My participation at PDAA is entirely voluntary, and I choose to participate in spite of the risks.

Dance education, Gymnastics training, and cheerleading sometimes requires hands-on instruction as well as verbal instruction. Instructors may correct athletes by touching their arms, legs, feet, hips, back and head to move them in the correct position or providing spotting. I acknowledge that this is a common standard in athletic instruction and understand that it is my responsibility to communicate clearly with my instructor and/or the director if any form of touch is unacceptable to me.

Medical Treatment and Insurance
I understand that PDAA does not assume any responsibility for or obligation to provide financial or other assistance in the event of injury or illness, including but not limited to medical, health, or disability insurance or support.

I authorize PDAA to obtain necessary medical or dental treatment, including first aid, ambulance transport, hospitalization, or such other care necessary for my health and welfare in an emergency. If my insurance does not cover emergency treatment that is deemed necessary and sought for me by PDAA, I agree to be responsible for and pay all costs incurred on my behalf.

I release and discharge PDAA from any claim which may arise on account of any first aid, treatment, or service rendered in connection with my participation in PDAA activities or with the decision by any representative or agent of PDAA to consent to medical or dental treatment on my behalf in an emergency.

I understand that PDAA does not carry or maintain health, medical, dental, or disability insurance coverage for any participant. I agree to take responsibility for full payment of any emergency medical or dental costs related to my PDAA participation regardless of whether I have insurance coverage.

Photographic Release
I understand that DAB may take photos and video recordings of me during my participation in PDAA classes and activities. I convey to PDAA full rights and interest in these recordings. I understand such recordings may be used in advertising or other published materials, physical or virtual.

If I do NOT consent to being photographed or video-recorded, I will make sure the director is aware of my concerns and the reasons for them, I will be proactive about avoiding being photographed or recorded, and I will not hold PDAA harmless if a photo or video recording of me is released despite all precautions. I understand that this choice may limit my participation in performances that are routinely photographed and/or videotaped.

Miscellaneous
While a participant at PDAA, I agree to abide by any rules, codes, and policies that are put in place by DAB before or at any time during my participation. If I have questions or concerns regarding any policies or decisions made by any representative of PDAA, I agree to bring them promptly and specifically to the director or instructor's attention.

If I file a lawsuit against PDAA, I agree to do so solely in the state of Virginia and agree that the substantive law of Virginia shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

Signature
Upon registration in the online portal system (Dance Studio-Pro), all parents or guardians of a student, and adults must check that they have read this document, understand it in its entirety, and agree to be bound by its terms, before participating in classes.
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.


PARENT / GUARDIAN WAIVER FOR MINORS (Only if student is under 18 years old)
The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the activity or event, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor, the parents, of the legal guardian.

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

Date Signed________________________

The privacy of your personal information is very important to Premier Dance and Athletics. We will not sell, rent or trade your personal information to any third party. We will take special care to protect the privacy and security of your information.

This policy explains our information practices and the way that Premier Dance and Athletics collects and uses your information. This Privacy Policy covers the information you provide to us offline and at Premier Dance and Athletics web site.

HOW DOES Premier Dance and Athletics COLLECT AND USE MY INFORMATION?

When you register for classes at Premier Dance and Athletics, we collect contact information such as guardian names, addresses, phone numbers, emergency contacts, e-mail address and student information such as student names, birthdays, medical conditions, and your comments. Some of the information is required and is noted with a red asterisk on the forms. This information is needed to manage studio business and will not be used or sold for any other purpose, except as described below. Some of the information is optional (NOT marked with a red asterisk). Optional information is requested to help us better understand our customers and is used only as needed for studio business. This information will not be used or sold for any other purposes, except as described below.

WHO HAS ACCESS TO MY INFORMATION?

When you register, you are required to enter an e-mail address and a password. The combination of that e-mail account and password is used to ensure that only you have access to, and only you have the ability to modify, your personal information through Premier Dance and Athletics website. Premier Dance and Athletics office personnel have access to your personal information only to manage the studio business.

Premier Dance and Athletics will access your personal information and/or share it with third parties only for the following purposes: (i) as needed for studio business; (ii) if required to do so by law or to comply with legal process; or (iii) to protect the rights, property, or personal safety of the public.

If you have any questions about our Privacy Policy or if you wish to update or remove any of your personal information, please contact the office.