Assumption of the Risk and Waiver of Liability Relating to Coronavirus / COVID -19
This waiver form must be signed and returned to either/or both Encore Dance Academy and Port Moody School of Dance prior to the start of Camps or Classes in order to participate. NO EXCEPTIONS. Individuals who have travelled outside of Canada within the previous 14 days or who are sick or who have been in contact with someone who is suspected of having Covid-19 must not use the facilities or attend dance classes. This access may be withdrawn at any time based on health agency recommendations.
WAIVER OF LIABILITY
I, the legal guardian would like my child/children to participate in dance classes at Encore Dance Academy or Port Moody School of Dance. In response to efforts to contain the spread of COVID-19 coronavirus, I/we are aware that I/we are using the facilities at our own risk and will ensure that I/we will conduct ourselves in a way that is appropriate. I confirm that I/we have not travelled outside of Canada for the past 14 days and have not been in contact with anyone who is suspected of having COVID-19. I/we do not have any symptoms of COVID-19 including but not limited to fever, sore throat, coughing, aches, respiratory problems, dry cough, fatigue, diarrhea, loss of taste or smell, chest pain, rash on skin, discolouration of fingers or toes, headache.
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Encore Dance Academy and Port Moody School of Dance have put in place preventative measures to reduce the spread of COVID-19; however, Encore Dance Academy and Port Moody School of Dance cannot guarantee that you or your child(ren) will not become infected with COVID-19. Attending any public spaces increases your risk and your child(ren)’s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or
infected by COVID-19 by attending Encore Dance Academy or Port Moody School of Dance and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Encore Dance Academy or Port Moody School of Dance may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Encore Dance Academy or Port Moody School of Dance employees, volunteers, and program participants and their families. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Encore Dance Academy or Port Moody School of Dance, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of Encore Dance Academy or Port Moody School of Dance, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Dance Studio program.
I give permision for my son/daughter's photographs/videos to be used for publicity and advertising in the studio, on the Encore Dance Acadmey or Port Moody School of Dance websites and in the community.
PMSD and EDA reserve the right to cancel or make changes to any program due to insufficient registration.