Downtown Dance Center

31 Main St

Marlborough Ma. 01752

508-8968-8721

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

I, AS A PARTICIPANT OR PARENT/GUARDIAN OF SAID CHILD(REN) HEREBY ASSUME ALL OF THE RISKS OF MYSELF/MY CHILD(REN) PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THESE IN-STUDIO OR VIRTUAL DANCE CLASSES, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective reigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of myself, my child(ren), for myself/mychild(ren)’s death, disability, personal injury, or actions of any kind which may hereafter occur to myself/my child(ren) during IN-STUDIO OR VIRTUAL DANCE CLASSES BY THE FOLLOWING ENTITIES OR PERSONS: Downtown Dance Center and/or their directors, employees, or volunteers. (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE THE FOLLOWING ENTITIES OR PERSONS: Downtown Dance Center and/or their directors, employees, or volunteers from any and all liabilities or claims made as a result of participation in IN-STUDIO OR VIRTUAL DANCE CLASSES, whether caused by the negligence of release or otherwise. I acknowledge that Downtown Dance Center and their directors, employees, and volunteers

are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting IN-STUDIO OR VIRTUAL DANCE CLASSES on their behalf. I acknowledge that this activity may involve injury. The risks include, but are not limited to, those caused by jumping, leaping, turning, stretching, or any DANCE /ACRO movement, lack of hydration, improper DANCE/ACRO floor, and actions of other people including, but not limited to, participants, and/or producers of the activity.

I hereby consent for myself / my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during IN-STUDIO OR VIRTUAL DANCE CLASSES. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND THE DOWNTOWN DANCE CENTER POLICIES IN RELATION TO COVID-19, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT. I SIGN IT OF MY OWN FREE WILL. I certify that I/my child(ren) are/is physically fit, has sufficiently prepared or trained for participation in IN-STUDIO OR VIRTUAL DANCE CLASSES, and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child(ren)’s participation in IN-STUDIO OR VIRTUAL DANCE CLASSES I acknowledge that this Accident Waiver and Release of Liability Form will be used by Downtown Dance Center the director, class holders, sponsors, and organizers of the activity in which my child may participate, and that it will govern my child(ren)’s actions and responsibilities at IN-STUDIO OR VIRTUAL DANCE CLASSES. I permit my child to participate in IN-STUDIO OR VIRTUAL DANCE CLASSES.

Parent or Guardian Signature (required for any minor under 18 years of age)

Student Signature (required for 18 years of age or older)

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