Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Dance Integrity Performing Arts Theatre during the selected camp. In exchange for the acceptance of said child’s candidacy by Dance Integrity Performing Arts Theatre, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Dance Integrity Performing Arts Theatre and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.
In case of injury to said child, I hereby waive all claims against Dance Integrity Performing Arts Theatre including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all dance activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the Dance Integrity Performing Arts Theatre and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
COVID-19
Dance Integrity Performing Arts Theatre, has put in place preventative measures to reduce the spread of COVID-19; however, Dance Integrity Performing Arts Theatre cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Dance Integrity Performing Arts Theatre could increase 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 Dance Integrity Performing Arts Theatre 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 Dance Integrity Performing Arts Theatre may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Dance Integrity Performing Arts Theatre employees, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Dance Integrity Performing Arts Theatre or participation in programming (“Claims” On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless Dance Integrity Performing Arts Theatre, 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 Dance Integrity Performing Arts Theatre, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Dance Integrity Performing Arts Theatre program.
I agree to not enter Dance Integrity Performing Arts Theatre for at least 14 days (and keep child(ren)/participants under age 18 home) if I/they show any symptoms related to COVID-19 (or if exposed to any with symptoms of COVID-19 in the last 14 days) including but not limited to: Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting or diarrhea.
I agree to follow all the Dance Integrity Performing Arts Theatre COVID-19 Safety and Health Guidelines and Procedures.