MEDICAL AUTHORIZATION 

 I acknowledge that I am the parent/guardian with legal responsibility for the above-referenced participant(s) and I am authorized to legally bind him/her. I also acknowledge that any program provided by Collab Dance Collective involves movement and motion and may result in physical injury. I also acknowledge that dance is an art form that requires teachers and instructors to be able to have appropriate physical contact for the purpose of making technical corrections. With this understanding and in consideration for the provision of Collab Dance Collective events and services, I permit my child/children to participate in Collab Dance Collective events and, on behalf of myself and/or my participating children, I: (1) Agree to assume all risks, bear all responsibility, to indemnify, hold harmless and covenant not to sue Collab Dance Collective, its agents, representatives, officers, and employees, from or for any and all claims (including, but not limited to claims of negligence or carelessness), causes of action, suits, proceedings, liabilities, judgments, awards, losses, (including, but not limited to, loss of personal property) and damages, including costs, expenses, and attorneys' fees, related thereto, arising out of, resulting from or in any way related to or connected with (i) my/his/her participation in or attendance at Collab Dance Collective events (no matter where such programs are located), and (ii) occurrences at or around Collab Dance Collective property, facilities or programs. (2) Forever release and discharge Collab Dance Collective its agents, representatives, officers, and employees, from and against any and all claims (including, but not limited to claims of negligence of carelessness), causes of action, suits, proceedings, liabilities, judgments, awards, losses (including, but not limited to, loss of personal property) and damages, including costs, expenses and attorneys’ fees related thereto, arising out of, resulting from or in any way related to or connected with (i) my/his/her participation in or attendance at Collab Dance Collective events (no matter where such programs are located), and (ii) occurrences at or around Collab Dance Collective, facilities or programs.  (3) Consent to appropriate physical contact. 

I hereby:(1) Certify that he/she is in proper physical condition to participate in Collab Dance Collective programs and he/she has been examined by a licensed physician and found to be in proper physical condition to participate in Collab Dance Collective programs. (2) Consent for (i) Collab Dance Collective to render first aid to him/her in case of illness and injury and (ii) for any emergency examination and medical treatment as approved by Collab Dance Collective or other adult escort to chaperone in case of illness or injury where I cannot be reached in time to authorize the treating physician to provide such medical treatment. I understand that this is to prevent undue delay and to assure prompt treatment.  (3) Acknowledge that I have adequate health insurance, am responsible for any medical expenses and that the absence of health insurance does not make Collab Dance Collective responsible for payment of medical expenses. I have declared any physical/mental problems, restrictions or conditions and declare the participant to be in good physical and mental health.

 

Waiver of Liability Relating to Coronavirus/COVID-19

COVID-19 has been declared a global pandemic by the World Health Organization (WHO). COVID-19 is known to be highly contagious, spreading through person-to-person contact, contaminated surfaces, and potentially through the air. Individuals can be infected and exhibit no symptoms, unknowingly transmitting the virus. The exact modes of transmission and contraction are still not fully understood. Evidence indicates that COVID-19 can lead to severe, potentially life-threatening illness and even death.

While Collab Dance Collective has implemented preventive measures to mitigate the spread of COVID-19, it cannot guarantee that you (or your children) will not be exposed to, contract, or spread the virus while attending events or entering the premises. It is impossible to completely eliminate the risk of exposure to this disease. Therefore, by choosing to attend Collab Dance Collective events or enter the premises, you acknowledge that you may be increasing your risk of contracting or spreading COVID-19.

 

ASSUMPTION OF RISK

I have read and fully understand the warning regarding COVID-19. By signing this document, I voluntarily accept the risk of contracting COVID-19 for myself and/or my children in order to attend Company events and/or enter Company premises. The value of these services to me (and/or my children) is significant enough that I willingly accept the risks associated with exposure to, contracting, and/or spreading COVID-19 while attending in person.

 

PHOTOGRAPHY AND VIDEOGRAPHY

Consent to Collab Dance Collective photographing or videotaping me or my participating children, and I permit Collab Dance Collective LLC to use my likeness and/or that of my participating children in photographs or videos for advertising and promotional purposes without compensation to my children or me.