Oct 18, 2021 06:22 PM

By signing below, I confirm that I am sending my student to attend dance classes at Formations Dance Center, LLC. I understand that my student’s attendance at Formations Dance Center is not required, and I am voluntarily allowing my student to attend.

1) I acknowledge that federal and state government officials have declared that there currently exists a public health crisis in our country related to the Coronavirus Disease 2019 (“COVID-19”).

2) I confirm that I will not send my student to attend classes or participate in the program or activity if they are showing any symptoms of COVID-19 (including but not limited to fever, dry cough, fatigue, shortness of breath, chills, muscle pains). Additionally, I confirm that I will not send my student to attend classes or participate in any activity if they have been in contact with any individual diagnosed with COVID-19 or any individual currently waiting for test results confirming the possibility of a COVID-19 diagnosis. I agree that in such situations, they will be unable to attend classes or participate in any activity until: (i) 10 calendar days after the symptoms first appeared and are no longer showing any symptoms; or (ii) a healthcare provider has confirmed in writing that they have tested negative for COVID-19 or that their symptoms were not due to COVID-19.

3) I understand that Formations Dance Center cannot prevent the possible transmission or contraction of COVID-19.

4) The undersigned agrees to release, discharge, hold harmless and indemnify Formations Dance Center and its agents, employees, officers, insurers and others acting on the FDC (the “Releasees”), of and from any and all claims, demands, causes of action and/or legal liabilities for injuries to or death of my student occurring during, or resulting from, or participation in the above-mentioned program or activity and related in any way to COVID-19, even if the cause, damages or injuries are alleged to be the fault of or alleged to be caused by the negligence or carelessness of the Releasees.