Informed Consent, Waiver of Liability and Authorization
I, the undersigned, for myself, my heirs, administrators, and executors, etc. hereby waive, release and forever discharge Step by Step Dance Expressions LLC, the director/owner individually, instructors, independent contractors, attorneys, insurers, officers, and staff, volunteers and facility/premises landlord/property & building owner, other agents, etc. (herein collectively referred to as designated agents) from any and all liability, negligence, claims, demands, or damages of any kind, for injury, sickness, loss, damage, expense, etc. to myself, my child(ren), property etc. both now and forever in the future, out of participation in the acrobatic/dance/exercise/yoga program at Step by Step Dance Expressions LLC. This includes any action taken, or failure to act, of the studio or designated agents, or a situation that could arise in connection to services rendered by Step by Step Dance Expressions LLC. This includes any studio-related event, on or off site, including, but not limited to, community performances, competitions, rehearsals, recitals, etc. whether caused by negligence, carelessness, weather conditions, designated agents, myself or other participants, event organizers, etc. This discharge includes but is not limited to, any actions, suits, damages, claims, or judgments, or other manner of actions, causes of action in law or equity or pursuant to statue whether known or unknown, arising from or in any way connection with participation in the programs at Step by Step Dance Expressions LLC. In the event an activity or facility appears unsafe, I will notify the person-in-charge and refuse to participate until it is deemed safe.
I agree that participation is voluntary in Step by Step Dance Expressions LLC acrobatic/dance/exercise/yoga program and certify that the student(s) is/are in proper physical condition to participate in said program according to a licensed physician and is/are physically fit and have/has no medical condition or injury which would limit or prevent full participation in programs. Furthermore, I am aware of physical limitations and agree not to exceed them and agree that participants are under no pressure to physically exert beyond capacity and that it is each participant’s responsibility to use personal judgment concerning the degree of participation and discontinue and/or rest when needed.
I understand that bodily injury, partial or total disability or paralysis or death is inherent in any physical activity and I, on behalf of myself and my child(red), knowingly and voluntarily accept that risk. This could include but is not limited to muscle strains, pulls or tears, broken or fractured bones, shin splints, heat exhaustion, heat stroke, heart attack, asthma attack, leg/knee/back/foot/arm/head/neck/etc. injury, and any other illness, soreness or injury, regardless of how it was caused, occurring before/during/after participation of myself or my child(ren) in the Step by Step Dance Expressions LLC program, on or off studio premises. I understand and agree to assume all risks which may occur including those not currently known or foreseeable. I agree that I am responsible for the actions of myself and my child(ren) while at Step by Step Dance Expressions LLC and that I nor my child(ren) will take or create risks or cause harm to self/others/property.
I understand there is not medical personnel available on location and hereby authorize Step by Step Dance Expressions LLC or designated agents to obtain medical treatment for myself/my child(ren) in emergency situations and understand that I am responsible for all medical expenses and that absence of health insurance does not make Step by Step Dance Expressions LLC responsible for payment of medical expenses and that Step by Step Dance Expressions LLC does not provide medical insurance to participants.
I agree to make all tuition, costume, participation fees on time and follow policies stated in the Studio Handbook and that I received a copy of the handbook. I take full responsibility for my/our behavior and/or any damage that I/we may cause.
I understand and acknowledge that dance is physical in nature and that to ensure proper instruction and safety, physical contact is required and necessary and that there may be physical contact between director/owner, instructors, independent contractor, staff, volunteers, all designated agents, dance participants, students, etc.
I hereby affirm that I have read and fully understand and agree with the above included in the informed consent, waiver of liability and authorization statement and am signing it at my own will on my behalf of that of my child(ren). I further state that I am 18 years of age or older, competent to sign this document and am legal parent/guardian. I agree to release Step by Step Dance Expressions LLC and its designated agents of all liabilities associated with participation.