Midwest Dance Mechanix Waiver of Liability, and Indemnity Agreement – COVID-19
IN CONSIDATION for being permitted to utilize the services, and programs of Midwest Dance Mechanix and/or for my children listed above to so participate for any purpose, including, but not limited to, observation or use of facilities or equipment, or participation in any off-site program affiliated with Midwest Dance Mechanix. The undersigned, on behalf of himself or herself and such participating children and any personal representatives, heirs and next of kin (hereinafter referred to as “the undersigned”) hereby acknowledges, agrees and represents that he or she has inspected and carefully considered such premises, equipment and facilities and/or the affiliated program and that the undersigned finds and accepts same as being safe and reasonably suited for the use or participation by the undersigned and such participating children.
In addition, the undersigned acknowledges that novel coronavirus (“COVID-19”) infections have been confirmed throughout the United States, including several cases in Kansas. In accordance with the most recent guidance and protocols issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC, the Kansas Department of Health (KDH), for slowing the transmission of CONVID-19, the undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize that facilities, services, and programs of Midwest Dance Mechanix (other than the exclusively online services and programs) within 14 days after (i) returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice, Or (iii) exposure to any person who has a suspected or confirmed case of COVID-19. The CDC Travel Health Network is continuously updating this list and the undersigned agrees that they are aware of this list and the countries listed.
The undersigned agrees to check the CDC Travel Health Notices list (https://www/cdc/gov/coronavirus/2019-ncov/travelers/index.html) prior to utilizing the facilities, services, and programs of Midwest Dance Mechanix, on a daily basis if necessary. The undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and programs of Midwest Dance Mechanix is he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify Midwest Dance Mechanix immediately if he or she believes that any of the foregoing access/use restrictions may apply.
Midwest Dance Mechanix has taken certain steps to implement recommended guidance and protocols issued by the Public Health Agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. The undersigned acknowledges and agrees that Midwest Dance Mechanix may revise its procedures at any time based on updated recommended guidance and protocols issued by the Public Health Agencies and further agrees to comply with Midwest Dance Mechanix’ revised procedures prior to utilizing the facilities, services and programs of Midwest Dance Mechanix. The undersigned further acknowledges and agrees that, due to the nature of the facilities, services, and programs offered by Midwest Dance Mechanix, social distancing of 6 feet per person among children and their caregivers in a childcare setting is not possible. The undersigned fully understands and appreciates both the known and potential dangers of utilizing the facilities, services and programs of Midwest Dance Mechanix and acknowledges that use thereof by the undersigned and/or participating children may, despite Midwest Dance Mechanix reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER MIDWEST DANCE MECHANIX FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIAPTION IN ANY ON-SITE OR OFF-SITE PROGRAMAFFLIATED WITH MIDWEST DANCE MECHANIX, THE UNDERSIGNED HEEREBY AGREES TO THE FOLLOWING:
THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH PARTICIAPTING CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND CONVENANTS NOT TO SUE Midwest Dance Mechanix, it owners, directors, officers, employees, volunteers and agents from all liability to the undersigned or such participating children and all personal representations, assigns, heirs, and next of kin of the undersigned or such participating children for any loss or damage, and any claim or demands on accounts of any property damage or any injury to , or an illness or the death of, the undersigned or such participating children (or any person who may contract COVID-19, directly or indirectly, from the undersigned or such participating children) whether caused by the negligence, active or passive, of Midwest Dance Mechanix or otherwise while the undersigned or such participating in any program affiliated with Midwest Dance Mechanix. The undersigned expressly and knowingly waives all rights.
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS Midwest Dance Mechanix, it’s owners, its directors, officers, employees, volunteers and agents, and each of them, from any loss, liability, damages or costs they may incur, whether caused by the negligence active or passive, or otherwise while the undersigned or any participating child is in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with Midwest Dance Mechanix. The undersigned understands and agrees that Midwest Dance Mechanix is not required to provide insurance to cover the undersigned or such participating children in the event they suffer illness, injury, death property, theft or damage of any sort upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with Midwest Dance Mechanix.
The undersigned agrees and acknowledges that use if Midwest Dance Mechanix facilities and services, and participation in Midwest Dance Mechanix programs, may involve inherent danger and risk, including, without limitation the risk of physical illness or injury, death or property damage. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF ILLNESSS, BOLDILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or such participating children due to negligence, active or passive, or otherwise while in, about or upon the premises of Midwest Dance Mechanix and/o while using the premises or any facilities or equipment thereon or participating in any program affiliated with Midwest Dance Mechanix. The undersigned acknowledges that any illness or injuries that the undersigned or such participating children contract or sustain may be compounded by negligent first aid or emergency response of the Releases and waive any claim in respect thereof.
THE UNDERSIGNED further expressly agree that the foregoing ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGRREMENT is intended to be as broad and inclusive as is permitted by the laws of the State of Kansas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILTIY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS RO INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM MIDWEST DANCE MECHANIX IN CASEOF ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO MIDWEST DANCE MECHANIX THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).
I have read and understand the terms of the Assumption of Risk, Release and Waiver of Liability, and Indemnity Agreement and agree to its term.