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Students entered below will be added to your family's account
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HOLD HARMLESS AGREEMENT
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I understand that there are risks of physical injury associated with, arising out of, and inherent to the activity of dance. I agree to indemnify and hold Body Language Studio, its instructors, employees, and owner harmless from any and all liability for injuries, property damage, or loss in connection with my/my child's participation in dance or fitness activities. I also hereby authorize Body Language Studio to act for me according to their best judgment in any emergency requiring medical attention and hereby waive and release them from any liability from injuries, illness or loss incurred.
I've read the above and agree.
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COMMUNICABLE DISEASES RELEASE, INCLUDING COVID-19
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Participation in dance, movement, or fitness activities at Body Language Studio includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff member immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE AND HOLD HARMLESS Body Language Studio, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. If the participant is under the age of 18, I agree on their behalf as their parent/legal guardian.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Name as it appears on card: * |
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Card Expiration Month: * |
Exp Year: *
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City:
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State:
Zip:*
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