READ AND SIGN BELOW
REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE AND MUST BE COMPLETED BEFORE CLASS.
I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of High Pointes Dance Academy classes, rehearsals, performances, or activities. I also exempt, release, and indemnify High Pointes Dance Academy, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by High Pointes Dance Academy. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold High Pointes Dance Academy, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the Ministry of Health, Public Health Unit and many other public health authorities still recommend practicing social distancing.
I further acknowledge that High Pointes Dance Academy has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that High Pointes Dance Academy can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, studio staff, and other studio customers and their families.
I voluntarily seek to take classes offered by High Pointes Dance Academy and acknowledge that I am increasing my risk of exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my class.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, pink eye, diarrhea, abdominal pain or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19
* I am following all Ministry of Health and Public Health Unit recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold High Pointes Dance Academy harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the dance studio, or that may otherwise arise in any way in connection with any services received from High Pointes Dance Academy. I understand that this release discharges High Pointes Dance Academy from any liability or claim that I, my heirs, or any personal representatives may have against the dance studio with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from High Pointes Dance Academy. This liability waiver and release extends to the dance studio together with all owners, partners, and employees.
Permission is granted High Pointes Dance Academy to use photographs and videos of students for publicity purposes.
I have read, understood and agree to be bound by the above statement: