DANCE TUITION AND PARTICIPATION WAIVER
I, the parent/guardian/carer of Minor, hereby acknowledge and consent to the following:
I recognise that dance, acrobatic and fitness programs, or any other class or tuition offered by Base181 Studios (herein after “Base181”) require physical exertion that is strenuous in nature and may have the potential to cause physical injury. I am fully aware of the risks and hazards involved and choose to still allow the abovenamed child to participate, despite of this knowledge. I agree to assume full responsibility for all tasks, injuries or damages, known or unknown, which may be incurred as a result of participation in these activities and further, will hold harmless Base181 for any damages and injury that may be sustained as a result of failure, in whole or part, of the participant to follow instructions given;
2. I hereby voluntarily, fully and forever waive, release and discharge Base181 Studios (herein after Base181), its owners, officers, directors, agents, employees, volunteers, and all other persons or entities acting in any capacity on its behalf from any and all losses, liabilities, claims, expenses, demands, actions, damages, injuries, causes of action, and rights of action which are related to, arise out of, or are in any way connected with my child’s participation in dance or acrobatic tuition at, with, or sponsored or administered by Base181. The foregoing waiver of liability includes, without limitation, damages or injury resulting from the negligence of Base181 Studio (whether such claims are based upon breach of contract, breach of warranty, or any other legal theory) or from any other cause or causes. I hereby agree not to institute any legal proceedings against Base181 for damages, whether to property or person, that my child may have sustained during participation in the dance, acrobatic or other tuition. I further hold Base181 harmless from any and all loss, liability, claims or expenses suffered which are in any way connected with my child’s (or my own) participation in activities of Base181;
3. I hereby acknowledge and understand that it is my sole responsibility to consult with a physician prior to the abovenamed child beginning any classes offered by Base181. I confirm that such child is physically fit and has no medical condition that would otherwise prevent full participation. I understand that any advice of any directors, agents, employees, volunteers or other of Base181, is not to supersede the advice of a physician;
4. I hereby acknowledge and agree to mention any changes in the health of the abovenamed child to the instructor/teacher or associated employee of Base181 prior to the commencement of any class. This includes but is not limited to sprains, common colds, flu, pregnancy, general aches and pains and more;
5. The above acknowledgement is not only for participation in any dance, acrobatic or other tuition within the studio, however, extends to any external events in which I have agreed to participate in (on behalf of the abovenamed child), inclusive of, but not limited to, external examination venues, fetes, dance concert venues, eisteddfod venues and any other place which is considered external to the Base181 Studio.
6. If this form is provided to me but remains unsigned by me, by allowing the child in my care to participate, I am hereby accepting the above by my actions;
7. Base181 Studios takes all precautions and follows the guidelines of the New South Wales Goverment in relation to the current COVID climate. This includes ensuring all equipment is sanitised between each use and that upon arrival and exit all participants have their hands sanitised. By signing this waiver you agree that this studio releases itself from any liability surrounding their policies and procedures and anything in slight connection to the COVID 19 climate.
8. Release for photography and videography: by checking the box below, I give permission for Base181 Studios to use video of photographic footage in which my child appears (and which is taken during the time at the Studio or during any external activity) for the purpose of (however, is not limited to) displaying publicly, distributing, publishing for online or offline advertisement, social media, brochures, newsletters or any other purpose in which Base181 sees fit.