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In consideration of being permitted to enter the premises and facilities operated by PENINSULA BALLET THEATRE, a non-profit public benefit corporation (“PBT”) or operations by other occupants of the PBT premises (“Occupants”), for any purpose whatsoever, including but not limited to observation, use of facilities or equipment or participation in any way, including online activities, the undersigned hereby acknowledges and agrees to the following:

1. The undersigned, for itself, its heirs and assigns, hereby covenants not to sue, releases, waives, and discharges PBT, each Occupant, PBT’s landlord and the officers, directors, employees or contractors of PBT, (collectively “Releasees” and individually a “Release”) from all liability to the undersigned for any loss or damage and any claim or demands therefor on account of injury to the person or property and/or resulting in the death of the participant or the undersigned, whether caused by the negligence of any of the Releasees or otherwise while the participant or the undersigned is in, upon, or about the premises or any facilities or equipment therein.

2. The undersigned hereby agrees to indemnify and save and hold harmless the Releasees and each of them from any loss, liability, damage or cost (including attorneys’ fees and court costs) they may incur due to the presence of the undersigned in, upon or about the PBT premises or in any way observing or using any facilities or equipment of PBT or an Occupant whether caused by the negligence of any of the Releasees or otherwise.

3. The undersigned assumes full responsibility for and risk of bodily injury, death or property damage due the negligence of Releasees or otherwise while in, about or upon the premises or facilities of PBT or any Occupant while using the premises or any facilities or equipment thereon.

4. The undersigned further expressly agrees that the foregoing Release, Waiver and Indemnity Agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

5. The undersigned has read and voluntarily signs the Release and Waiver of Liability and Indemnity Agreement and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement has been made.

6. I understand I must notify PBT via email by the 25th of the month in order to withdraw my student from the following month's classes.

7. PHOTO RELEASE: PHOTO AND VIDEO RELEASE
I grant permission to Peninsula Ballet Theatre, and its agents or employees, the unrestricted right to use and publish photographs or video footage taken of me or the student for any legal use, including but not limited to: outreach, copyright purposes, illustration, advertising, web content, and social media.

I waive any right to royalties or other compensation arising from the use of my photograph or video footage, and if signing on behalf of the student, I waive all such rights of the student.

I agree on my own behalf or on the behalf of the student, to release and hold harmless Peninsula Ballet Theatre and its agents or employees from any claims arising from the related use of the photographs or video footage.

8. I acknowledge that by signing this form I give Peninsula Ballet Theatre full copyright and authority to publish photography or videography, and I agree to the terms listed above.

I HAVE READ AND UNDERSTAND THIS WAIVER AND RELEASE OF CLAIMS AND INDEMNITY AGREEMENT, WHICH SHALL CONTINUE IN EFFECT INDEFINITELY.

Class Code of Conduct

I will use the restroom and get a drink of water before class starts.

I will not eat or chew gum while in class.

I will respect my teachers, PBT staff and volunteers, PBT studios, and my classmates. I will not disrupt class.

I will support all of my classmates.

I will accept corrections as positive criticism. I understand that my teacher is not criticizing me and that this is an opportunity for me to grow.

I will take pride in my school, my teacher, my classmates, and myself.

I will not use my phone or other devices during class.

I will have fun!

CLASS WAIVER AND RELEASE 2022-2023

By attending classes I agree to Peninsula Ballet Theatre’s standard Waiver and Release of Claims and Indemnity Agreement.

In addition, I certify that I am not aware of any medical conditions that would preclude me from participating in dance activities in an online environment. I understand there is a risk of injury associated with dancing and agree to hold harmless Peninsula Ballet Theatre, its officers, directors, employees, or contractors of Peninsula Ballet Theatre.

I agree to immediately stop performing an activity if I feel pain, dizziness, or other symptoms and report them to the instructor. I agree to follow the instructor’s directions and stop any activity that I do not feel confident enough to perform.

By accepting these terms and conditions, I certify that I have fully read and agree to the terms above.

COVID-19 PANDEMIC STUDENT CONSENT FORM
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, and the disease caused by it, 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.


Peninsula Ballet Theatre (PBT) has put in place preventative measures to reduce the spread of COVID-19; however, PBT cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending PBT events 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 I may be exposed to or infected by COVID-19 by attending this event 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 PBT may result from the actions, omissions, or negligence of myself and others, including, but not limited to, PBT 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 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 attendance at the event (“Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless PBT, 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 PBT, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any PBT program.


*I confirm that I am not presenting any of the following symptoms of COVID-19 listed here: Fever, Shortness of Breath, Loss of Sense of Taste or Smell, Dry Cough, Runny Nose, Sore Throat

*I acknowledge that self-screening is required prior to entering PBT. Students with a fever above
100° must stay home.

*I acknowledge that I will report my confirmed COVID-19 diagnosis to COVID19_SchoolTeam@smcgov.org.