COVID-19 Waiver of Liability
PLEASE READ CAREFULLY AND SIGN BELOW: 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 acknowledge that Ballet & Dance of Upstate New York Inc, has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Ballet & Dance of Upstate New York Inc can not guarantee that my child 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 of myself and others, including, but not limited to, staff, and other students and their families. I am voluntarily attending classes at Ballet & Dance of Upstate New York Inc and acknowledge that my child must comply with all set COVID-19/Coronavirus procedures to reduce the spread while attending their classes.
I attest that:
My family is not experiencing any symptoms 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 family has not traveled internationally within the last 14 days.
My family has not traveled to a highly impacted area within the United States of America or abroad in the last 14 days.
My family does not believe we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
No one in my family has been diagnosed with Coronavirus/COVID-19 and not yet cleared as non contagious by state or local public health authorities.
My family is 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 Ballet & Dance of Upstate New York Inc, harmless from, and waive on behalf of myself, my children, and any personal representatives, any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself, my children and/or property that may be caused by any act, or failure to act of the studio, or that may otherwise arise in any connection with any services received from Ballet & Dance of Upstate New York Inc. I understand that this release discharges Ballet & Dance of Upstate New York Inc from any liability or claim that I, my children, or any personal representatives may have against the studio with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or is in connection to, any services received from Ballet & Dance of Upstate New York Inc. This liability waiver and release extends to the studio together with all owners, partners, and employees.