I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Forever Dance has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Forever Dance can not guarantee that my child(ren) or 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, staff, and
other clients and their families. I voluntarily seek services provided by Forever Dance and acknowledge that my child(ren) and I am increasing my
risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that: * Neither my child(ren) nor I am 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, or new loss of taste or smell.
* My child(ren) and I have not traveled internationally within the last 14 days. *My child(ren) and I have not traveled to a highly impacted area within the United States of America in the last 14
days. * I do not believe my child(ren) nor I have been exposed to someone with a suspected and/or confirmed case of the
Coronavirus/COVID-19. * My child(ren) and I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by
state or local public health authorities.
* My child(ren) and I are following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Forever Dance 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 my child(ren) and/or I and/or property that may be caused by any act, or failure to act of Forever Dance, or that may otherwise arise in any way in connection with any services received from Forever Dance. I
understand that this release discharges Forever Dance from any liability or claim that my child(ren) and/or I, my
heirs, or any personal representatives may have against the Forever Dance 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
Forever Dance. This liability waiver and release extends to Forever Dance together with all owners, partners, and employees.