|
Students entered below will be added to your family's account
|
|
Release of Liability
(Show-Hide Details)
I understand that the Full Circle Dance (FCD) expects all students to conduct themselves in a safe, courteous and responsible manner. FCD reserves the right to dismiss any student whose conduct is found to be unsatisfactory. I also understand that there are certain inherent risks, hazards, and dangers in any student program and that I will not hold FCD responsible for injury or accident.
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Full Circle Dance ("FCD") has put in place preventative measures to reduce the spread of COVID-19; however, the FCD cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending FCD 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 FCD 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 FCD may result from the actions, omissions, or negligence of myself and others, including, but not limited to, FCD employees, volunteers, and other 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 FCD. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless FCD, 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 FCD, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any FCD program.
I've read the above and agree.
|
|
|
Other Questions/Comments: |
|
|
Credit Card Verification: |
|
|
Name as it appears on card: * |
|
|
Card Expiration Month: * |
Exp Year: *
|
|
|
City:
|
State:
Zip:*
|