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IRBY DANCE STUDIO AGREEMENT AND WAIVER OF LIABILITY

I wish to engage the services of Irby Dance Studio, its staff and its facilities for the purpose of dance and other instruction and training, the value of which is acknowledged by my signature below.

In consideration of the dance services rendered, use of facilities and equipment, and instruction from and by IDS, its owners, employees, agents, contractors, volunteers, staff, and or assigns, (“IDS”), and on behalf of myself, my heirs, executors, assigns and/or personal representatives, I knowingly and voluntarily enter into this Agreement and Waiver of Liability and the terms set forth herein.

1. Acknowledgements. By my signature/acceptance below, I hereby acknowledge and agree:

a. I am voluntarily participating in the dance instruction and training provided by IDS;
b. I will abide by the rules and regulations of Irby Dance Studio, as set forth herein and as may be posted in the facility from time-to-time;
c. I will conduct myself in a reasonably prudent and safe manner at all times while participating in dance instruction or otherwise on facility property or grounds.
d. I will be engaging in physical activity exertion that might result in injury, disability or other harm to myself or to others.
e. I have declared any physical/mental problems, restrictions, or condition at the end of this Agreement and Waiver and/or I declare that I am in good physical and mental health.


2. Waiver of Liability. I acknowledge and understand that dance instruction, and the
use of facilities and equipment involves risk of harm, injury, illness, loss, or damage to myself and to others. Knowing the risks, I assume all such risks and accept personal responsibility for the damages following any such injury, illness, loss, or damage which I may suffer. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time and assume such risks. I hereby release, covenant not to sue, discharge, hold harmless and indemnify IDS, its owners, employees, agents, contractors, volunteers, staff, and or assigns, for any and all loss, harm, liabilities, claims, actions, damages, or injuries to my person or property, including, but not limited to, legal damages, compensatory damages, punitive damages, costs and expenses of litigation and attorney's fees.

3. Registration Fee. I agree to pay the annual registration fee that will be collected at the time of registration. By my signature below, I give IDS permission to charge my credit card/bank account for the registration fee, in addition to the cost of the class(es) for which I enroll.

4. Tuition & Billing. I agree to pay tuition due for each month on the date of the first lesson of the month. I understand that a $25 fee will be assessed for all returned payments, and that a $10 late fee will be charged to my credit card/bank account for any payments made after the 15th of the month. I understand I may arrange to pay my account by check or cash. I understand any unpaid tuition or fees past 60 days will be sent to a collection agency and our attorney.

5. Medical Emergency. I give my permission to IDS to seek medical treatment for the students listed below in the event that IDS is not able to reach a parent or guardian.

6. Refunds. I understand that IDS will not issue refunds for any missed class(es) or any early withdrawal(s) from dance instruction or sessions. No refunds will be given on any costumes that have been ordered.

7. Contact Info. I understand if any of my contact information listed below should change during the course of the 2020-2021 dance year, I will contact the studio to provide this new information for billing and mailing purposes.

8. Annual Recital. I understand that by enrolling as a student at IDS, I am automatically pre-registered for the IDS annual dance recital. If the student(s) listed below do not wish to participate in the recital, I will notify the studio, in writing, no later than October 15th. I give IDS permission to charge my credit cards/bank account for the recital costumes unless prior written arrangements are made with IDS.

9. Video & Photo. I give Irby Dance Studio permission for the public display of pictures and or video of the student(s) listed below for advertisement purposes in print, on the website, and/or on social media.

10. Withdraw Policy. I understand and agree that withdrawal must be submitted in WRITING to IDS before the 1st of the month or I will be billed for that month’s tuition.

11. Weather Policy. I acknowledge that IDS follows the Searcy Public School District’s inclement weather policy and that I will not be refunded for any sessions that may be cancelled due to inclement weather.

12. Attendance Policy. I agree to notify IDS if I will be absent for a session.

13. COVID-19. IDS has implemented certain preventative measures recommended by the World Health Organization, the Centers for Disease Control and Prevention, and the Arkansas Department of Health in an effort to slow the transmission of COVID-19 and/or any other infectious diseases. I acknowledge and agree that IDS may revise its procedures at any time based on updated recommended guidance and protocols recommended by these agencies. I acknowledge that IDS cannot guarantee that you will not become infected with COVID-19 or other infectious disease, and that attendance and participation at IDS may increase your risk of contracting COVID-19 and other infectious diseases. I agree, represent and warrant that I will comply with IDS’ procedures, and I will not visit or utilize IDS facilities, services, and/or sessions if I have experienced any symptoms of illness, including, but not limited to, fever, cough or shortness of breath. I acknowledge the contagious nature of COVID-19 and other infectious diseases and voluntarily assume the risk of exposure to COVID-19 based on my attendance and participation at IDS. I acknowledge that I may be exposed to or infected by COVID-19 and other infectious diseases resulting from the actions, omissions, or negligence of myself and others, including, but not limited to, other students and their families, as well as the owners, employees, independent contractors, staff, and volunteers at IDS. I hereby release, covenant not to sue, discharge, hold harmless and indemnify IDS, its owners, employees, agents, contractors, volunteers, staff, and or assigns, for any and all loss, harm, liabilities, claims, actions, damages, or injuries to my person or property, including, but not limited to, legal damages, compensatory damages, punitive damages, costs and expenses of litigation and attorney's fees from liability for harm, injury and/or death resulting from exposure to COVID-19 or other infectious disease.

I HAVE READ AND UNDERSTAND THE ABOVE AGREEMENT AND WAIVER OF LIABILITY. I AFFIRM THAT I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND/OR LEGAL GUARDIAN OF THE STUDENT(S) LISTED BELOW.

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.
Irby Dance Studio has put in place preventative measures to reduce the spread of COVID-19; however, the studio cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the studio 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 the studio 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 the studio may result from the actions, omissions, or negligence of myself and others, including, but not limited to, studio 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 the studio or participation in studio programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the studio, 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 the studio, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any studio program.


I am aware that my actions as a parent or legal guardian will impact the safety of others. Irby Dance Studio is counting on me and all other parents and kids to help keep us all safe by meeting the physical distancing and personal hygiene standards recommended by the CDC and the Arkansas Department of Health.

Please do not send your child into the studio if they are not feeling well or have shown symptoms of illness.

By accepting this waiver, I am agreeing to do my part to help make IDS safe by being respectful of and abiding by the studio’s policies.

IRBY DANCE STUDIO AGREEMENT AND WAIVER OF LIABILITY

I wish to engage the services of Irby Dance Studio, its staff and its facilities for the purpose of dance and other instruction and training, the value of which is acknowledged by my signature below.

In consideration of the dance services rendered, use of facilities and equipment, and instruction from and by IDS, its owners, employees, agents, contractors, volunteers, staff, and or assigns, (“IDS”), and on behalf of myself, my heirs, executors, assigns and/or personal representatives, I knowingly and voluntarily enter into this Agreement and Waiver of Liability and the terms set forth herein.

1. Acknowledgements. By my signature/acceptance below, I hereby acknowledge and agree:

a. I am voluntarily participating in the dance instruction and training provided by IDS;
b. I will abide by the rules and regulations of Irby Dance Studio, as set forth herein and as may be posted in the facility from time-to-time;
c. I will conduct myself in a reasonably prudent and safe manner at all times while participating in dance instruction or otherwise on facility property or grounds.
d. I will be engaging in physical activity exertion that might result in injury, disability or other harm to myself or to others.
e. I have declared any physical/mental problems, restrictions, or condition at the end of this Agreement and Waiver and/or I declare that I am in good physical and mental health.


2. Waiver of Liability. I acknowledge and understand that dance instruction, and the
use of facilities and equipment involves risk of harm, injury, illness, loss, or damage to myself and to others. Knowing the risks, I assume all such risks and accept personal responsibility for the damages following any such injury, illness, loss, or damage which I may suffer. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time and assume such risks. I hereby release, covenant not to sue, discharge, hold harmless and indemnify IDS, its owners, employees, agents, contractors, volunteers, staff, and or assigns, for any and all loss, harm, liabilities, claims, actions, damages, or injuries to my person or property, including, but not limited to, legal damages, compensatory damages, punitive damages, costs and expenses of litigation and attorney's fees.

3. Registration Fee. I agree to pay the annual registration fee that will be collected at the time of registration. By my signature below, I give IDS permission to charge my credit card/bank account for the registration fee, in addition to the cost of the class(es) for which I enroll.

4. Tuition & Billing. I agree to pay tuition due for each month on the date of the first lesson of the month. I understand that a $25 fee will be assessed for all returned payments, and that a $10 late fee will be charged to my credit card/bank account for any payments made after the 15th of the month. I understand I may arrange to pay my account by check or cash. I understand any unpaid tuition or fees past 60 days will be sent to a collection agency and our attorney.

5. Medical Emergency. I give my permission to IDS to seek medical treatment for the students listed below in the event that IDS is not able to reach a parent or guardian.

6. Refunds. I understand that IDS will not issue refunds for any missed class(es) or any early withdrawal(s) from dance instruction or sessions. No refunds will be given on any costumes that have been ordered.

7. Contact Info. I understand if any of my contact information listed below should change during the course of the 2020-2021 dance year, I will contact the studio to provide this new information for billing and mailing purposes.

8. Annual Recital. I understand that by enrolling as a student at IDS, I am automatically pre-registered for the IDS annual dance recital. If the student(s) listed below do not wish to participate in the recital, I will notify the studio, in writing, no later than October 15th. I give IDS permission to charge my credit cards/bank account for the recital costumes unless prior written arrangements are made with IDS.

9. Video & Photo. I give Irby Dance Studio permission for the public display of pictures and or video of the student(s) listed below for advertisement purposes in print, on the website, and/or on social media.

10. Withdraw Policy. I understand and agree that withdrawal must be submitted in WRITING to IDS before the 1st of the month or I will be billed for that month’s tuition.

11. Weather Policy. I acknowledge that IDS follows the Searcy Public School District’s inclement weather policy and that I will not be refunded for any sessions that may be cancelled due to inclement weather.

12. Attendance Policy. I agree to notify IDS if I will be absent for a session.

13. COVID-19. IDS has implemented certain preventative measures recommended by the World Health Organization, the Centers for Disease Control and Prevention, and the Arkansas Department of Health in an effort to slow the transmission of COVID-19 and/or any other infectious diseases. I acknowledge and agree that IDS may revise its procedures at any time based on updated recommended guidance and protocols recommended by these agencies. I acknowledge that IDS cannot guarantee that you will not become infected with COVID-19 or other infectious disease, and that attendance and participation at IDS may increase your risk of contracting COVID-19 and other infectious diseases. I agree, represent and warrant that I will comply with IDS’ procedures, and I will not visit or utilize IDS facilities, services, and/or sessions if I have experienced any symptoms of illness, including, but not limited to, fever, cough or shortness of breath. I acknowledge the contagious nature of COVID-19 and other infectious diseases and voluntarily assume the risk of exposure to COVID-19 based on my attendance and participation at IDS. I acknowledge that I may be exposed to or infected by COVID-19 and other infectious diseases resulting from the actions, omissions, or negligence of myself and others, including, but not limited to, other students and their families, as well as the owners, employees, independent contractors, staff, and volunteers at IDS. I hereby release, covenant not to sue, discharge, hold harmless and indemnify IDS, its owners, employees, agents, contractors, volunteers, staff, and or assigns, for any and all loss, harm, liabilities, claims, actions, damages, or injuries to my person or property, including, but not limited to, legal damages, compensatory damages, punitive damages, costs and expenses of litigation and attorney's fees from liability for harm, injury and/or death resulting from exposure to COVID-19 or other infectious disease.

I HAVE READ AND UNDERSTAND THE ABOVE AGREEMENT AND WAIVER OF LIABILITY. I AFFIRM THAT I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND/OR LEGAL GUARDIAN OF THE STUDENT(S) LISTED BELOW.

_______________________________ ______________________________________
Name of Student Name of Parent/Legal Guardian

Medical Conditions of Student:

______________________________________
Signature of Parent/Legal Guardian

______________________________________
Address, City, State, Zip Code

______________________________________
Email Address

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Phone Number