I am the Parent/Legal Guardian of this student.
I fully understand and acknowledge:
risks and dangers exist while participating in physical activities such as dancing
participation in such activities and/or use of such equipment may result in injury or illness including but not limited to bodily injury.
I agree to release, waive, discharge, and hold harmless Burlington Dance Academy Inc., its owners, and its employees, from any liability, claims, actions or losses for bodily injury, property damage, or otherwise which may arise out of The Minor's participation in services provided by Burlington Dance Academy Inc. I also authorize Burlington Dance Academy Inc. to take all reasonable steps to respond to medical emergencies and to seek medical treatment in the case of an injury.
ASSUMPTION OF RISK & RELEASE OF LIABILITY RELATING TO CORONAVIRUS/COVID-19/OR SIMILAR ILLNESS
This waiver form must be accepted with an acknowledgement before any use of the facilities is made. Individuals who are sick, or who have been in contact with someone who is suspected of having COVID-19/or Similar Illness, must not use the facilities or attend dance classes. This access may be withdrawn at any time based on health agency recommendations and government guidelines.
I am the parent/legal guardian of this student who would like to participate in dance education classes at Burlington Dance Academy Inc. In response to efforts to contain the spread of COVID-19 coronavirus/or similar illness, I am aware that I am using the facilities at my own risk and will ensure that I will conduct myself in a way that is appropriate. I confirm I do not have any symptoms of COVID-19/ or similar illness including but not limited to fever, sore throat, coughing, aches, respiratory problems, dry cough, fatigue, diarrhea, loss of taste or smell, chest pain, rash on skin, discolouration of fingers or toes, headache.
I agree to complete a daily COVID-19 coronavirus/or similar illness self-assessment BEFORE arriving at Burlington Dance Academy Inc.
I agree to stay home if I feel unwell
I have a plan to be picked up promptly if I develop any symptoms.
I will seek a COVID-19 test when exhibiting symptoms, or, in the absence of a test, self-isolate prior to returning to school
I agree to comply with the orders provided by Public Health
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Burlington Dance Academy Inc. has put in place preventative measures to reduce the spread of COVID-19; however, Burlington Dance Academy Inc. cannot guarantee that you or your child(ren) will not become infected with COVID-19/or similar illness. Attending any public spaces increases your risk and your child(ren)’s risk of contracting COVID-19/or similar. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk my child(ren) and I may be exposed to or infected by COVID-19/or similar by attending Burlington Dance Academy Inc. 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/or similar at Burlington Dance Academy Inc. may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Burlington Dance Academy Inc. employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Burlington Dance Academy Inc. or participation in programs at Burlington Dance Academy Inc. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Burlington Dance Academy Inc., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of Burlington Dance Academy Inc., its employees, agents, and representatives, whether a COVID-19 /or similar infection occurs before, during, or after participation in any Burlington Dance Academy Inc. program.
FORCE MAJEURE
In the event Burlington Dance Academy Inc. and its parties is unable to perform its obligations under the terms of this Agreement because of acts of God, wars, pandemics (including but not limited to COVID-19) or other causes reasonably beyond its control, such party shall not be liable for damages to the other for any damages resulting from such failure to perform or otherwise from such causes.
FEES AND PAYMENTS
SUMMER PROGRAMS:
I agree to provide payment upon registration, as required, or by the deadline, if specified. My registration has been accepted once the required fee has been paid.
DANCE PROGRAMS:
I agree to provide payment as outlined in the Fee Schedule by (1) autopayment via a valid credit card on file in the online portal, OR (2) complete payment at the time of registration. If the above is NOT provided, NSF charges will be posted to my account accordingly and interest will be charged at the rate indicated on my statements. If payment is not made on a timely basis, my student will be refused entry into class. I agree to provide one month's notice/one month's payment if my student wishes to withdraw. If my student wishes to withdraw AFTER January 31, 2027, payment is due in full and I agree to pay the balance of lesson fees for the remainder of the year on the withdrawal date. Lesson fees and Recital Fees are the ONLY fees charged to customers’ accounts via autopayment. Any fees, besides lessons, must be paid by the client and will not be automatically processed by Burlington Dance Academy unless expressed solely by the client.
YEAR-END RECITAL:
Year-End Recital costume fee charges are automatically added to your account when you register, and your child/children is automatically enrolled to participate in the 2026-2027 year-end recital at the Burlington Performing Arts Centre (BPAC). We can accept payments via debit or e-transfer; however, these payments must be received PRIOR to January 29, 2027, in order that no automatic payment will be processed for recital deposit(s).
You agree any outstanding recital costume deposit(s) will be automatically processed to your card on file on February 1, 2027.
RECITAL WITHDRAWAL:
If you DO NOT wish to participate in the 2026-2027 Year-End Recital, Burlington Dance Academy MUST RECEIVE WRITTEN NOTICE (via e-mail) as soon as possible, and BEFORE January 31, 2027. Recital charges will be removed from your account at that time and there will be no automatic charge to your credit card for a recital costume fee(s).
I have read, understand, and agree with the above terms of participation and the assumption of risk of participation and release all liability.
