Honolulu Dance Studio and Boogie Down Hawaii Waiver Release Form
Mar 13, 2026 06:13 PM
Honolulu Dance Studio (HDS)/Honolulu Dance Company &/Or Boogie Down Hawaii LLC (BDH), WAIVER OF LIABILITY AND INDEMNIFICATION 07/11/2023
I agree that I am personally responsible for my safety and actions while attending Honolulu Dance studio & Boogie down Hawaii (“HDS/HDCo&BDH” or the “Studio”). I agree to comply with all Studio Policies, including but not limited to all guidelines, studio signage, recommendations on the web site, and instructions given at the Studio.
I, the client, acknowledge that all exercise and participation is done at my own risk, and that Honolulu Dance Studio & Boogie down productions is not liable for any injury to my person or illness. I also acknowledge that HDS & BDH is not responsible for the theft of or damage to my personal property left at the Studio or for theft or damage done to my automobile or personal property in the parking lot at the building located at 1030 Queen st. and/or 350 Ward Ave (Honolulu, Hawaii 96814) HDS&BDH suggests that clients do not bring valuables into the Studio. I hereby assume all risks associated with the use of HDS&BDH’s facilities.
I affirm that I, as well as all members, do not currently have, nor have we experienced the following symptoms WITHIN THE LAST 5 DAYS: Fever of over 100 degrees Fahrenheit or more, non-allergy related runny nose, unexplained body aches/pains, digestive issues like diarrhea, dry cough, chills with or without aches, sore throat, unusual fatigue, unexplained sores on feet, conjunctivitis (pink eye) or shortness of breath.
I affirm that to the best of my knowledge,
● Have not been diagnosed or knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 5 DAYS.
I understand that HDS&BDH cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.
I agree that HDS & BDH may verify my temperature with a touchless (infrared) thermometer at any time and terminate any session if I exhibit illness or fever over 100 degrees Fahrenheit. I will be asked to leave the Studio if this occurs.
I agree not to visit the Studio for a 5-day period if any of the above symptoms occur.
I hereby, on behalf of myself and any family members, hold HDS & BDH and all of its employees and officers, successors, spouse, estate, heirs, executors, administrators, assigns, and personal representatives, harmless, and forever release, waive, discharge, and indemnify HDS&BDH against, any and all claims, including, but not limited to, illness (whether COVID related or otherwise), personal injury, including bodily injury or death, and all property damage, arising out of or in any way connected with my entry into, or use of HDS&BDH’s facilities by myself, my minor children, my guests, or invitees. The terms and conditions contained herein, along with the Studio Policies (following page), constitute the full agreement between HDS,BDP and myself, and no oral promises made are a part of any agreement. I further understand and agree to accept the risks associated with becoming infected by any communicable disease and acknowledge that HDS&BDH is taking all reasonable and available precautions to protect me and its staff from infection. I agree that by entering the HDS&BDH facility, I will comply with all health-related guidelines imposed.
By signing below I acknowledge and represent that I have read the foregoing Waiver of Liability, understand it and sign it voluntarily as my own free act and deed, including without limitation the Release of Liability and Indemnification requirements contained in this document; I am sufficiently informed about the risks involved in using the Studio, as well as to decide whether to sign this document. No oral representations, statements, or inducements, apart from the foregoing written agreement have been made to me. I am at least eighteen (18) years of age and fully competent; and I execute this document for full, adequate, and complete consideration fully intending to be bound by the same. If I sign on behalf of a minor for whom I am the parent or legal guardian, I fully understand that this waiver of liability also applies to the minor identified herein below. I have read and understand the above waiver, and voluntarily signed below.