ONLINE CLASS WAIVER FORM


May 25, 2020 01:05 AM



ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
SYNERGY DANCE AND FITNESS STUDIO

ONLINE CLASS WAIVER:
By subscribing to our online classes you are acknowledging and agreeing that:
1) Your child has gained your permission to be online.
2) You will ensure that your child is wearing appropriate clothing that is suitable for dance and in no way revealing.
3) That, where possible, you will ensure webcams are located in a communal space like a living room - rather than a bedroom. If only a private space like a bedroom is available you will commit to keeping the door open and/or you or another adult will stay present for the class.
4) The sharing and/or downloading of videos from Synergy’s Online Classes is strictly forbidden.
5) Your child participates in these online dance classes at their own risk. You understand that dance, fitness, sport aerobics and acrobatics is likened to sport and, although rare, injury may occur. Synergy Dance & Fitness Studio will not be held responsible for any injury that may occur to your child during these online classes.
6) These online classes have been closely monitored and edited by Miss Emma.

ESSENTIAL INFORMATION FOR STUDENTS (Parents please ensure your child fully understands these requirements)
- Your teacher is not able to see you properly at all times, it is not the same as a live, in studio class. You will have to take more responsibility than usual for the safety of your space and of your movements.
- Please make sure you have at least two metres clear space around you, that the floor is clear of any objects or spills, and the surface is appropriate to dance and move on. Where possible, ensure you are located in a communal space like a living room - rather than a bedroom. If only a private space like a bedroom is available you must keep the door open and/or have a parent present for the duration of class.
- Try to set up your screen so that you are able to see the teacher on screen completely. Ensure you have the volume set high so that you can hear the instructions.
- You will be able to hear and see your teachers but they will not be able to hear or see you.
- Wear appropriate clothing which is non-restrictive.
- Have a full bottle of water bottle close by.
- If an exercise or action causes sharp or sudden pain, stop immediately, apply first aid or seek help from your parents. Because of the online format your actions are unsupervised by your teacher so please make your own judgements, as you know your own body better than anyone.
- Stay within your physical limitations at all times.
- Have any pets or young siblings in another space to avoid sudden tripping hazards.

a. Acro/Tumbling
I understand that Acro/Tumbling has a high risk of injury and I agree to ensure my child/s is only performing movements within their physical limitations. I exempt, release, and indemnify Synergy Dance & Fitness studio, it’s owners, agents, volunteers, assistants, contractors, guest artists, faculty members, and/or students liable for any injury that may occur while taking Synergy Dance & Fitness Studios online classes

Please note that the material in Synergy Dance and Fitness Studios online videos is copyright and has not been approved for sharing, or for third party recordings/downloading. Sharing of the classes and links/ passwords are strictly forbidden.


I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event.

In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

I HEREBY WAIVE, RELEASE, AND DISCHARGE Synergy Dance a d Fitness Studio and all divisions thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or instruction of camps, intensives, private instruction, choreography or any activity I may participate.

I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Synergy Dance and Fitness Studio and/or their directors, officers, managers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, activity or event volunteers;

I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this waiver, release and registration form from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise.

The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

PARENT / GUARDIAN WAIVER FOR MINORS (Only if student is under 18 years old)
The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the activity or event, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.