Liability Release Form
Assumption of Risk, Release of Liability for Personal Injury, Agreement to Hold Instructor Harmless of Fault
For and in consideration of of Beatz Dance Studio permitting the participant to enroll and participate in the class (“Event”).
I agree and consent to the following:
I am voluntarily participating in class, an exercise fitness class or dance class conducted by Lynsey A Beatrice, Alycia M Beatrice, Cindy R Libbey or Haley Eugster. I recognize the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.
I understand it is my responsibility to consult with a physician prior to and regarding my participation in the above-mentioned program. I verify and affirm that I have no medical condition that would prevent my participation in this program.
Participant, by signing below, hereby voluntarily indemnifies, releases from liability, and hold harmless Beatz Dance Studio of Grafton, MA 01519 and Lynsey A Beatrice, Alycia M Beatrice, Cindy R Libbey, and Haley Eugster; the facility and instructors for any accident, injury, illness, death, loss, damage to person or property, or other consequences suffered by Participant or any other person arising or resulting directly or indirectly from Participant’s participation in the event. In the event that Participant is injured, Participant agrees to assume any financial obligation, either through Participant’s personal health insurance, or through some other means, for any medical costs which Participant incurs. Beatz Dance Studio assumes no responsibility for any medical expenses, injury, or damage suffered by Participant in connection with the use of any facilities or services in connection with the Event.
I knowingly, voluntarily, and expressly waive any claim I may have against Lynsey A Beatrice, Alycia M Beatrice, Cindy R Libbey, Haley Eugster and Beatz Dance Studio of Grafton, MA 01519, for any injury or damages that I may sustain as a result of participating in this community program.
I, my spouse, assignees, guardians, my heirs, or representatives’ forever release waive, discharge and covenant not to make claim or sue Lynsey A Beatrice, Alycia M Beatrice, Cindy R Libbey, Haley Eugster or Beatz Dance Studio, of Grafton, MA 01519, for any injury or death caused by their negligence or other acts.
I have read the above waiver and release of liability and fully understand its content. I voluntarily agree to the terms and conditions stated above.
** If the participant is not 18 years of age or older, he/she must have the consent of a parent or guardian who will also read, understand, and agree to the above terms. The Parent or Guardian must then sign and assume responsibility for the above terms.
I, as parent or legal guardian hereby understand, agree to, and assume responsibility for the above terms for this minor being registered.
Accessibility, Diversity & Nondiscrimination
Accessibility is an organizational asset and a civil right. Beatz Dance Studio complies with all local, state, and federal laws and regulations concerning civil and human rights. Our programs and employment practices are free of discrimination based on race, color, religion, national origin, sexual orientation, age, gender, or disability. In addition, Beatz Dance Studio is specifically committed to complying with the provisions of the Americans with Disabilities Act. The ADA requires that all programs, services and activities, when viewed in their entirety, are readily accessible to and usable by individuals with disabilities. For more information, please contact us at 508-887-8801.
Appropriate Accommodations Policy
We are happy to say that One Grafton Common Suite 119 and 123 are fully accessible. We acknowledge our obligation to make its offices, classes and programs accessible and will make reasonable accommodations to ensure that they are. Students, faculty and staff have the obligation to promptly notify Beatz Dance Studio management of any physical barrier to their participation in a class, program, or function in order to arrange for modifications. If the studios, facilities, or office are found to be inaccessible, an accessible alternate location will be utilized. For more information, please contact Beatz Dance Studio at 508-887-8801..
Photo & Video Release
Unless otherwise noted at the time of registration, permission is granted for photographs or videos to be taken of your child/yourself to be used in promotional or descriptive material produced by or for Beatz Dance Studio.