IMPACT Dance Studio Waiver of Liability and Indemnity Agreement
The undersigned acknowledges and understands that with any physical activity there is a risk of injury to the participants. The undersigned understands that in consideration of being able to participate in the classes and exhibitions involving various forms of dance and movement, does hereby release IMPACT Dance, the owners, instructors, staff and volunteers in charge of all actions demands or claims that may result because of injury.
IMPACT Dance has taken certain steps to implement recommended guidance and protocols issued by the Public Health Agency for slowing the transmission of COVID-19, including, without limitations, the access/use restrictions set forth below. The undersigned understand and agrees that IMPACT Dance may revise its procedures at any time based upon updated guidance and protocols issued by Public Health and further agrees to comply with the revised procedures while participating in the programs at IMPACT Dance.
The undersigned hereby agrees, represents and warrants that neither the undersigned not the participating children shall visit or utilize the facilities and programs of IMPACT Dance if he/she experiences symptoms of COVID-19, including, without limitation, fever , cough or shortness of breath, or has a suspected or confirmed case of COVID-19. The undersigned also agrees that participants shall not visit or utilize IMPACT Dance programs (other than online services and programs offered by IMPACT Dance) within 4 days of returning from a highly impacted area or exposure to any person who has a confirmed or suspected case of COVID-19. The undersigned agrees to notify IMPACT Dance immediately if he/she believes that any of the foregoing access/use restrictions apply.
In further consideration of being able to use the facilities or equipment, or participate in any on-site or off-site program affiliated with IMPACT Dance the undersigned hereby agrees to the following:
The undersigned, and on behalf of such participating children, hereby releases, waives, discharges and covenants not to sue IMPACT Dance, the owners, instructors, staff and volunteers for all liability for any loss or damage and any claim and demands on account of any property damage or 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 participating children) whether caused by negligence, either active or passive, of IMPACT Dance.
The undersigned agrees to indemnify and save and hold harmless IMPACT Dance, the owners, instructors, staff and volunteers from any loss, liability, damages or costs they may incur whether caused by negligence, either active or passive, while the undersigned or any participating children participating in any programs affiliated with IMPACT Dance. The undersigned understand that IMPACT Dance is not required to provide insurance to cover the participating children in the event they suffer injury, illness, death, property loss, theft or damage of any sort while participating in any program affiliated with IMPACT Dance. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or the participating children while using the premises of IMPACT Dance and/or participating in any programs affiliated with IMPACT Dance.
I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT. I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND/1OR LEGAL WARDS AND I REPRESENT AND WARRANT TO IMPACT DANCE THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).