Due to the 2020 outbreak of the novel Coronavirus (COVID-19), LHDC is taking extra precautions with the care of every student to
include enhanced sanitation/disinfection procedures in accordance with the Michigan Department of Health, the CDC and other
federal, state and local guidance. The CDC describes COVID-19 symptoms as: Fever or chills, Cough, Shortness of breath
or difficulty breathing, Fatigue, body aches, Headache, Sore Through, Congestion or runny nose, Nausea, vomiting, or Diarrhea.
By finalizing my registration, I agree to the below statements:
- I understand the above symptoms
- I affirm that I, and all of my household members, do not currently have the above symptoms, nor have experienced these
symptoms within the last 14 days.
-I affirm that I, as well as all of my household members, have not been diagnosed with COVID-19
within the past 30 days.
- I affirm that I, as well as all of my household members, have not knowingly been exposed to anyone diagnosed with COVID-19
within the past 30 days.
- I affirm that I, as well as all of my household members, have not traveled outside of the
country, or to any city considered to be a “hot spot” for COVID-19 infections within the past 30 days.

-As a participant or as a parent/guardian of a participant of Lighthouse Dance Company’s programs, I recognize and
acknowledge that there are certain risks of physical injury and I agree to assume full risk of any injuries,
including damages, death or loss which may be sustained as a result of participation in any activities connected
with Lighthouse Dance Company. I agree to waive and relinquish all claims against the studio and its faculty members from
any and all claims resulting from participation in the program. In case of accidents or sickness, I consent to
emergency medical care for my child/myself to be provided by ambulance, emergency or hospital personnel. I
acknowledge the contagious nature of COVID-19 and other contagious diseases and viruses and voluntarily
assume the risk that I and/or my child/children may be exposed to or infected by COVID-19 by attending and
participating 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 and other contagious
diseases and viruses may result from the actions, omission, or negligence of myself and others, including, but
not limited to, employees, volunteers, and program participants and their families. I also consent to the use of
my child’s/my photography in brochures, programs, slide presentations, and publication. I have read and
understood all of the studio policy information.