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I and/or my minor child (hereinafter “I” or “participant”) desires to participate in dance or other activities (the “Enrolled Activities”) provided or sponsored by Emily Finch, LLC doing business as Dance 101 (“Dance 101”). I understand that the Enrolled Activities require physical exertion and that physical injury may result from participating in the Enrolled Activities. Despite this risk, I am voluntarily participating in the Enrolled Activities, and I voluntarily elect to assume all risk involved. Enrolled Activities includes, without limitation, classes, recitals, camps, competitions, and any open house or other event held, sponsored, hosted, or participated in by Dance 101.

Specifically, I release and hold harmless Dance 101, its owners, administrators, and instructors from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant, while in or upon any premises under the control and supervision of Dance 101, its owners, administrators, and instructors (the “Premises”). I further release and hold harmless Dance 101, its owners, administrators and instructors from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by any other person while in or upon the Premises.

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I hereby certify that participant is in proper physical and mental condition to participate in the Enrolled Activities. I agree to notify Dance 101 immediately, in writing, if there is any physical or mental condition that significantly impairs participant’s ability to participate in the enrolled activities. I will work with Dance 101 to request a reasonable accommodation for any such issues. I give Dance 101, its owners, administrators, and instructors permission to seek emergency medical treatment for participant, and I request that participant be transported to the nearest hospital if necessary. I understand that Dance 101 cannot dispense any form of medication.

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A $25 fee will be charged and automatically debited from your account for any payment that is rejected due to insufficient funds. In addition, a $15 late fee will be charged in the event that any tuition payment due is received more than 5 days after any payment due date.

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I understand that in the instruction of dance, the instructor may need to physically manipulate the participant when assisting the participant in the proper alignment and execution of the movements. I hereby authorize the instructors to physically manipulate the participant to assist in the proper alignment and execution of the movements.

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I understand that participation in Enrolled Activities carries the risk of exposure to illness from infectious diseases, including but not limited to COVID-19, and the risk of exposure to communicable conditions, including but not limited to head lice. I further understand that such infectious diseases and communicable conditions may be known or unknown and that the recommended protocols and risks for COVID-19 and other infectious diseases and communicable conditions are constantly changing. I understand that Dance 101 has no reliable way to stay fully updated on all of this information. Nor is it practicable or reasonable to fully implement every possible safety precaution. I understand that this release also covers liability, claims, and actions caused entirely or in part by Dance 101’s failure to follow safety precautions or its failure to take additional precautions, including but not limited to negligence, mistake, failure to enforce its rules/policies, and failure to supervise. I also warrant to Dance 101 that I will abide by their rules and policies, including not entering the Premises if I have a fever, cough, runny nose, other flu-like symptoms, or head lice. I further warrant to Dance 101 that I have adequate health, property, and liability insurance necessary to provide for and pay any medical costs or property damage that may directly or indirectly result from participation in Dance 101 Enrolled Activities. I will also indemnify and hold Dance 101 harmless for any damages I may cause.

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I understand that from time to time, Dance 101 participants will be photographed and/or video-recorded while participating in any Dance 101 Enrolled Activities. I further understand that these photos and videos may be used for appropriate promotional purposes for Dance 101. These videos and/or photos may also be made available for purchase from Dance 101. This specifically includes, without limitation, any photos or videos of the Annual Recital and any group photos. I hereby authorize Dance 101 and any Dance 101 hired photographers and videographers to take photographs of and videotape me and/or participant at recitals and other similar types of performances, including practices for such performances. I hereby waive any right to inspect or approve any image, and I hereby grant Dance 101 the unconditional right to use and copyright such photographs and videos and to sell such videos or photos. Participants’ last names will not be used on the Dance 101 website or in Dance 101 print advertising.

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For your convenience, Dance 101 will periodically send account statements, newsletters or other announcements regarding specials, new products and services or changes to the Dance 101 privacy policy via email. You hereby agree to receive such emails and understand that you can opt-out (unsubscribe) at any time. Unless required by law, NONE of your personal information will ever be shared with a third party.

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I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS AND HEREBY FREELY AND VOLUNTARILY AGREE TO ALL OF THE TERMS WITHIN THIS AGREEMENT, INCLUDING THE UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I, the undersigned, am at least 18 years of age and I am the participant, participant's parent, or participant's legal guardian. I have the legal right to consent to and, by signing, I hereby do consent to the terms and conditions of this Agreement. I understand that by checking each of the boxes above, I am electronically signing with the intent to document my agreement to each of the above terms.