The WELL, LLC (Home of The WyND Program & Whirlwind Dance)
116 E Moler St. Columbus, OH 43207
phone: 614-362-5813
email: thewelldirectors@gmail.com
1. The WELL, LLC ACKNOWLEDGEMENT OF RISK, WAIVER OF LIABILITY COVENANT NOT-TO-SUE AND INDEMNIFICATION AGREEMENT
As the parent or legal guardian of the named child, or as an adult participant, I hereby consent to my/his/her participation in the programs and classes offered at The Well, LLC. By the very nature of the activity dance, acrobatics, yoga all carry a risk of physical injury. No matter how careful the student and teacher, no matter how skilled the student or teacher and no matter how many times the skill has been performed successfully, the risk cannot be eliminated. Reduced, yes, but never eliminated. In consideration of being allowed to participate I ASSUME THAT RISK AND ALL OTHERS BOTH KNOWN AND UNKNOWN or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I understand that I should be aware of my and/or my child's physical limitations and agree not to exceed them.
In consideration of my own or my child's participation, I hereby release and covenant not-to-sue The WELL, LLC or its Directors, officers, employees, teachers, coaches, or agents, from any and all present or future claims resulting from accidents or ordinary negligence on the part of The WELL, LLC or others listed for property damage or personal injury arising as a result of mine or my child's participation in dance, acrobatics, yoga, performances, rehearsals or any other activities or any activities incidental thereto while at The WELL, wherever, whenever, or however the same may occur to the fullest extent of the law.
For myself or as the parent or guardian of the named child, I hereby agree to 100% individually protect for the possible future medical expenses plus any additional and related expenses which may be incurred by myself or my child as a result of an injury sustained while participating in any program of instruction, recreation, camp, special event or competition at, for, or under the direction or control of The WELL, LLC.
The WELL reserves the right to use any video or photographic material that may contain images of your child for any lawful purpose. By signing this form, I also agree to the use of these images for the purpose stated.
This Acknowledgement of Risk, Waiver of Liability, Covenant Not-To-Sue, and Indemnification Agreement shall be ongoing and shall apply during all the years that myself or the above named student participates in activities under the direction or control of The WELL, LLC. This Acknowledgement of Risk, Waiver of Liability, Covenant Not-To-Sue and Indemnification Agreement, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.
2. PHOTO RELEASE
For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby grant The WELL, LLC, permission to use mine or my child's likeness in a photograph or video in any and all of its publications, including but not limited to all of The WELL, LLC's printed and digital publications which include all types of social media. I understand and agree that any photograph or video using my likeness will become property of The WELL, LLC and will not be returned.
I acknowledge that since my participation with The WELL, LLC is voluntary, I will receive no financial compensation.
I hereby irrevocably authorize The WELL, LLC to edit, alter, copy, publish or distribute this photo or video for purposes of publicizing The WELL. LLC programs or for any other related, lawful purpose. In addition I waive the right to inspect or approve the finished product, including written or electronic copy, wherein mine or my child's likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to use of the photograph or video.
I hereby hold harmless and release forever discharge The WELL, LLC from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my child or my estate have or may have of this authorization
3. Wellness Policy
COMMUNICABLE AND INFECTIOUS DISEASES
Acknowledgment of Risk, Health and Safety Agreement, and Waiver of Liability
The WELL Center for Movement & Dance (“The WELL”) is committed to providing a safe and healthy environment for all dancers, instructors, staff, and visitors. However, participation in dance classes, rehearsals, performances, and other activities may involve potential exposure to communicable or infectious diseases, including but not limited to COVID-19, influenza (flu), RSV, and other viral or bacterial illnesses.
While The WELL takes reasonable precautions to maintain a clean and healthy environment, it cannot guarantee that participants will not be exposed to or contract an infectious illness while attending its facilities or activities.
By signing this agreement, I acknowledge and agree to the following:
Health and Wellness: I agree that I, or my child, will refrain from attending classes or activities when experiencing symptoms of a potentially contagious illness, including fever, vomiting, diarrhea, or other symptoms that may pose a health risk to others.
Responsibility to Others: I understand the importance of helping maintain a healthy environment and agree to follow The WELL's reasonable health and safety policies, including any applicable illness-related attendance or return-to-class guidelines.
Illness Notification: Additionally, I agree to promptly notify The WELL if I, my child, or a member of our household is diagnosed with COVID-19 or another contagious illness that may have exposed dancers or staff during attendance at The WELL. I also agree to notify The WELL if I become aware of a confirmed exposure that may present a risk to others at the studio. This communication will help The WELL take appropriate precautions to protect the health and well-being of our dancers, instructors, and staff. Any health information shared will be handled with appropriate discretion.
Assumption of Risk: I understand and acknowledge that participation in group dance activities involves an inherent risk of exposure to communicable or infectious diseases, which in some cases may result in serious illness or complications. I voluntarily accept these inherent risks for myself or, as the parent or legal guardian, acknowledge these risks in connection with my child's participation.
Waiver of Liability: To the fullest extent permitted by applicable law, I agree to release The WELL, LLC, its owners, instructors, employees, and representatives from claims belonging to me arising from exposure to communicable or infectious diseases during participation in The WELL's activities, except where liability cannot legally be waived.
Parent/Guardian Acknowledgment: If signing on behalf of a minor, I acknowledge that I am the child's parent or legal guardian and agree to support The WELL's health and safety policies. I understand that my signature does not waive any rights or claims belonging independently to my child that cannot legally be waived.
If I am signing this waiver for my child(ren), I certify that I am the parent or legal guardian and have the right to waive these rights.
I understand that this waiver will have a starting date and will remain in effect until the family no longer participates in any programs at The WELL, LLC.
By accepting this waiver on-line I agree to all of the outlined policies above. If you would like a written hard copy with signatures please ask at the front desk or request via email at thewelldirectors@gmail.com
