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WORKSHOP SERIES #1 WHEN: AUGUST 12TH TIME: 11:45 am - 4:30pm *First class begins at 12:00pm* *Last Class ends at 4:15* WHERE: N'Ferno Performing Arts Center 9633 Liberty Road, Randallstown MD 21133 Suite HJ PRICE: Early Bird - $55 | Regular - $65 | Door - $75 *Early Bird runs from May 1st - June 15th* *Regular Pricing runs from June 16th - July 21st* WHAT TO WEAR/BRING: Leotard & Tights, Jazz Shoes, Tennis Shoes, Sweatpants/leggings, T-Shirt, Water

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Family Information

	First Name:*	Last Name: *
	Relation to Student*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Additional Information:

COVID 19 RELEASE

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In addition, the undersigned acknowledges that novel coronavirus ("COVID-19") infections have been confirmed throughout the United States, including several cases in Maryland. In accordance with the most recent guidance and protocols issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), the Maryland Department of Health (MDH), for slowing the transmission of COVID-19, the undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and programs of N'Ferno Performing Arts Center (other than any exclusively online services and programs) within 14 days after (i) returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice, (ii) exposure to any person returning from areas subject to a CDC Level 3 Travel Health Notice, or (iii) exposure to any person who has a suspected or confirmed case of COVID-19. The CDC Travel Health Network is continuously updating this list and the undersigned agrees that they are aware of this list and the countries listed. The undersigned agrees to check the CDC Travel Health Notices list (https://www.cdc.gov/coronavirus/2019-ncov/index.html) prior to utilizing the facilities, services, and programs of N'Ferno Performing Arts Center, on a daily basis if necessary. The undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and programs of N'Ferno Performing Arts Center if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify N'Ferno Performing Arts Center immediately if he or she believes that any of the foregoing access/use restrictions may apply.

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N'Ferno Performing Arts Center have taken certain steps to implement recommended guidance and protocols issued by the Public Health Agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. The undersigned acknowledges and agrees that N'Ferno Performing Arts Center may revise its procedures at any time based on updated recommended guidance and protocols issued by the Public Health Agencies and further, agrees to comply with N'Ferno Performing Arts Center's revised procedures prior to utilizing the facilities, services, and programs of N'Ferno Performing Arts Center. The undersigned further acknowledges and agrees that, due to the nature of the studio, services, and programs offered by N'Ferno Performing Arts Center, social distancing up to 6 feet per person among children and adults will not be enforced during our instruction and/or classes.

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The undersigned fully understands and appreciates both the known and potential dangers of utilizing the studio, services, and programs of N'Ferno Performing Arts Center and acknowledges that use thereof by the undersigned and/or such participating children may, despite N'Ferno Performing Arts Center's reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death and shall not hold harmless N'Ferno Performing Arts Center and its officers, servants or assigns from any liability concerning your child's involvement in N'Ferno Performing Arts Center programs and further agree that the use of all NPAC facilities (on site & virtually) is made at the risk of the registrant.

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I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE, AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, IN

I've read the above and agree.

MEDICAL/MEDIA RELEASE

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MEDICAL - MEDIA RELEASE I, the undersigned, hereby acknowledge, accept and represent that participation in the activities for which the participant is registered to attend includes strenuous physical activity and involves foreseeable risks of serious injury (including paralysis and even death) with or without the negligence of others. Participant, on his or her behalf, and the parent/guardians, on behalf of Minor Participant as well as on their own behalf, unequivocally agree to incur and assume such risks as a condition to participation in the activities for which Participant is registered. In order for N'Ferno Performing Arts Center to register participant, the Participant (and the Minor Participant's parents/guardians on behalf of Minor Participant and on their own behalf) hereby waive all claims (past, present or future), release and discharge, covenant not to sue, and agree to indemnify and hold harmless N'Ferno Performing Arts Center(as well as its officers, employees, independent contractors, affiliates and agents) from any and all liability, loss, cost, expense, claims, demands, actions, judgments and executions which the undersigned ever had, now has, or which the undersigned may have in the future, for personal injuries, known or unknown, and damage to property (real or personal) in any way caused by, related to, or arising out of, directly or indirectly, the activity for which the Participant is registered or in which Participant is permitted to engage. In the event of the illness or injury, I authorize N'Ferno Performing Arts Center to obtain necessary medical treatment for the Participant and hereby, in my own behalf and behalf of the Participant, release and hold harmless all Releasees. The undersigned represents and agrees that this waiver and release is binding not only on the undersigned, but also upon all their respective heirs, representatives, administrators, executors, and assigns. This release covers every possible injury or accident, whether related to the permitted activity, the equipment, the condition of the premises, or otherwise, and regardless of whether due in whole or in part to the negligence of a Releasee or other Participant. In addition, if anyone (whether a Participant, Minor Participant's parent/guardian, or anyone else on behalf of a Participant or parent/guardian) makes acclaim against any of the Releasees despite this release, then the undersigned agree to indemnify and hold harmless, each of the Releasees from any litigation expenses, attorney fees, loss, liability, damages or cost any release may incur as the result of such a claim. Furthermore, the undersigned represent that the Participant is healthy and has no physical or mental condition that would impair Participant's ability to safely participate in the contemplated activity. I understand that N'Ferno Performing Arts Center, from time to time, produces promotional and other materials relating to its programs. I understand that the Participant may be included in videotapes, DVDs and/or photographs taken during the year. Therefore, without reservation or limitations, I, in my own behalf and on behalf of my Minor Participant, hereby assign, transfer and grant to N'Ferno Performing Arts Center, its successors, assignees and licensees, the exclusive right to photograph and/or videotape the Minor Participant and to utilize such videotapes and photographs and Participant's name, face, likeness, voice and appearance as part of the event, in advertising and promoting the Event or advertising and promoting future events, and for sale for any and all purposes, for perpetuity. The intent of this document is to relieve the Releasees to the fullest extent permitted by law of any responsibility or liability for injury or damage arising out of the contemplated activity. As a consequence, if any term or condition in this document is determined by any court of competent jurisdiction to be overbroad or otherwise unenforceable for any reason, then t

I've read the above and agree.

NO REFUNDS

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