Waiver and Release
Participant Name (Please Print)____________________________________________________________
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.
Coastal Dance Academy, Inc. has put into place preventative measures to reduce the spread of COVID-19; however Coastal Dance Academy, Inc. cannot guarantee that any participant will not become infected with COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that myself or my child may be exposed to or infected by COVID-19 by attending Coastal Dance Academy and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Coastal Dance Academy, Inc. and its officers, employees, instructors, and volunteers.
On behalf of myself, my heirs and assigns, I hereby agree to release, save and forever discharge Coastal Dance Academy, Inc. and its officers, instructors, employees, and volunteers, from claims, costs, causes of action or demands, howsoever arising out of any injury, including death, loss, disability or damage, as a result of participation in the Coastal Dance Academy, Inc. dance program and or activities by the participant named above, whether a COVID-19 infection occurs before, during, or after participation in any dance class or program.
Parent/Guardian/Participant Signature and Date_______________________________________________________________
Waiver and Release:
I hereby request that the above participant be accepted into all of the dance and performance activities associated with Coastal Dance Academy, Inc. I, the undersigned, hereby acknowledges that on behalf of myself and the participant named above, I have informed myself of the various dangers and risks associated with or inherent in dance.
Participant to Indemnify Coastal Dance Academy, Inc. In consideration of the fees to be paid and the instruction provided, I hereby agree to indemnify and hold harmless, Coastal Dance Academy, Inc. and its officers, instructors, and volunteers from claims, demands and causes of action howsoever arising out of any injury including death, loss, or damage to the participant named above while participating in the CDA, Inc. program activities and any instructions.
Participant to Waive Claims Against Coastal Dance Academy, Inc. On behalf of myself, my heirs and assigns, I hereby agree to release, save and forever discharge CDA, Inc. and its officers, instructors, and volunteers from claims, costs, causes of action, or demands, howsoever arising out of any injury, including death, loss, or damage, as a result of participation in the CDA, Inc. dance program and/or activities by the participant named above. I have read and understood the policies of Coastal Dance Academy, Inc. and I agree to its terms and conditions.
Parent/Guardian/Participant Signature and Date__________________________________ _____________________________
