I, the adult applicant or I, the parent or legal guardian of the applicant listed on this form, hereby give approval of the applicant's participation in any and all of Steppin' Out Dance Academy Inc. programs and activities. I do waive, release, absolve,indemnify and agree to hold harmless the organizers, sponsors, supervisors, CEO's, participants, and persons involved in the operation of Steppin' Out Dance Academy Inc. programs for any claims arising out of injury or other loss to named applicant or any member of his/her family whether as a participant in the activities or as a spectator. I also give permission for Steppin' Out Dance Academy Inc. to take photos and/or video of me or my child to use for the website and for purposes of promoting the school through other forms of advertisement.
The participant has not been diagnosed with, demonstrated any symptoms of, or has, in any way, been exposed to the virus commonly referred to as COVID-19, within the past fourteen (14) days of this signing. Also, I am aware that if my child begins to demonstrate any symptoms, becomes diagnosed, or is exposed to the COVID-19 virus, I need to contact the studio office immediately and my child cannot return to the studio for class until cleared by a physician.
I am aware that by entering the premises at 266 Center Rd, West Seneca, NY 14224, and participation includes possible exposure to illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.
I willingly agree to comply with the stated and customary terms and conditions for participation as regards to protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest employee immediately.
I voluntarily agree, to release, waive, discharge and covenant not to sue STEPPIN' OUT DANCE ACADEMY, INC., its agents, servants and/or employees from any and all liability to my child, their personal representatives, assigns, heirs, and/or next of kin, for any and all loss or damage, and any claim or demand therefore, arising out of participation at STEPPIN' OUT DANCE ACADEMY, INC., and specifically with respect to the contraction of the COVID-19 virus.
I understand that this release also covers liability, claims, and actions caused entirely or in part by STEPPIN' OUT DANCE ACADEMY, INC. act or failure to act, including but not limited to negligence, mistake, or failure to enforce, supervise, or maintain.
I assure STEPPIN' OUT DANCE ACADEMY, INC. that there are no health-related reasons or problems which preclude or restrict or otherwise advise against my presence at STEPPIN' OUT DANCE ACADEMY, INC. I further assure the STEPPIN' OUT DANCE ACADEMY, INC. that I have adequate health, property's and liability insurance necessary to provide for and pay any medical costs or property damage that may directly or indirectly result from my presence at STEPPIN' OUT DANCE ACADEMY, INC. and I will indemnify and hold STEPPIN' OUT DANCE ACADEMY, INC. harmless for any such medical costs or property damage.
I understand that I (or other party as listed on the account) am financially responsible for all of the fees listed in the detailed attachment received upon registering my child and that I am responsible for any additional late fees or service charges that are stated in the attachment for any payments that I have not made by the listed due dates. I understand that there is a minimum required enrollment for a class to be held and that Steppin' Out Dance Academy Inc. reserves the right to cancel any class. Registration Fees and tuition are non-refundable. A refund for pre-paid tuition for classes not yet taken is only guaranteed if Steppin' Out Dance Academy Inc. cancels a class permanently off the schedule due to low enrollment in that class.
I understand that if my child is a participant on the Steppin' Out Dance Academy competition team I am responsible to pay for any/all competition fees that are required by the due dates when notification is given.
I understand that newsletters are released bimonthly throughout the year through email and posted in the Academy lobby as well as the on new studio website. It is my responsibility to check in every so often to make sure I am up to date on events going on at the Academy.
