By agreeing to this release form, I (the dancer or parent/guardian) assume all risks related to the use of any and all spaces used by Melodic Remedy Dance Studio. Melodic Remedy Dance Studio and the teacher's are not liable for loss of or damage to personal property. I acknowledge that Melodic Remedy Dance Studio, its staff, or representatives, cannot be held responsible for any injury to myself, or my son/daughter. Each student may decline to participate in any activity. Please inform the teacher of any personal limitations you may have.
I understand and accept that the risk of injury is possible while participating in athletic activities. I authorize the directors and staff of Melodic Remedy to act according to their best judgment in any emergency requiring medical attention. I agree to indemnify and hold harmless anyone associated with Melodic Remedy for all medical or dental expenses incurred as a result of participation in Melodic Remedy activities or programs, or use of Melodic Remedy facilities. If you have any doubt to your physical abilities, please consult with your physician before participating.
I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event.
I agree to allow photos and/or video of the dancer to be used for any legitimate purpose by the studio, event holders, producers, sponsors, or organizers. As mentioned in Melodic Remedy’s Policies, I understand that the dancer or his/her guardian must, first clear the allowance of any recordings or photos taken by anyone other than Melodic Remedy instructors or approved outside parties.
ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO COVID-19: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is 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 have put in place recommended social distancing, occupancy restrictions and guidelines for businesses to follow. Melodic Remedy (MRDS) has put in place preventative measures to reduce the spread of COVID-19; MRDS will be implementing all recommendations from California state officials as per MRDS Healthy & Safety Procedures document available on our website.
MRDS will make every effort to keep our studio sanitized and to prevent symptomatic employees and dancers from entering the building. However, COVID-19 has been proven to be asymptomatic in some persons. Therefore, MRDS cannot guarantee that you or your child(ren) will not become infected with COVID-19 or any other unknown virus. Further, attending MRDS 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 MRDS and that such exposure or infection may result in personal injury, illness, permanent disability, and death. By signing this agreement, I agree that my child and any accompanying persons will not enter MRDS if we exhibit any of the following new or worsening signs or symptoms of possible COVID-19: A temperature greater than 100.4 degrees Fahrenheit, cough, shortness of breath or difficulty breathing, other respiratory symptoms, or at least two of the following symptoms: chills, repeated shaking with chills, muscle pain, sore throat or new loss of taste or smell. I also agree that, neither my child(ren) nor any accompanying adult will enter MRDS if we have had known close contact with a person who is lab-confirmed to have COVID-19.
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 MRDS. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless MRDS, 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 MRDS, its employees, agents, and representatives, whether a COVID-19 or other currently unknown virus infection occurs before, during, or after participation in any MRDS program or class.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I ALSO UNDERSTAND THAT THIS AGREEMENT IS FOR THE DURATION OF TIME OF ENROLLMENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT.