COMPANY C DANCE CLUB COVID-19 CONSENT AND WAIVER
COVID-19 Consent
Please be assured that we are following the expectations set forth by the State of Ohio for a Responsible Restart of our studio. However, it is still possible to contract COVID-19 infection and other communicable diseases in any public space. While we are instituting many changes to reduce the risk of transmission, given the nature of dance, complete social distancing is not possible at all times and the risk remains.
By sending your child to the studio, you are affirming that your child is in good health and that you are not aware of your child being in contact with anyone experiencing COVID-19 symptoms as detailed by the Centers for Disease Control.
These symptoms include:
• Cough
• Shortness of breath or difficulty breathing
• Fever
• Chills
• Muscle Pain
• Sore throat
• New loss of taste or smell
• Other less common symptoms are gastrointestinal symptoms like nausea, vomiting or diarrhea.
By sending your child to the studio, you are acknowledging that a risk of contracting COVID-19 exists and agree to release Company C Dance Club, its employees, agents and/or representatives from any claims of liability should you or your child contract the illness as a result of contact at the studio.

I have chosen to have my child participate in dance, tumbling or other physical activity given by Company C Dance Club, Flip Factory, its owners, directors, employees, independent contractors, agents and/or other representatives (collectively referred to as "Company C"). I acknowledge that I understand the nature of the activities in which my child will participate and that my child is in the proper physical condition and capable of participating in the activities and/or related activities, understanding that Company C is not in any way responsible for making such a determination.

In consideration for my child's participation in any activity at Company C, I understand and agree on behalf of myself and child, to release, hold harmless and discharge Company C Dance Club, Flip Factory, its owners, directors, employees, independent contractors, agents and/or other representatives, from all claims, costs, liabilities, expenses or judgments, including attorney's fees and court costs for any occurrences in connection with the activities at Company C. I assume all risks to my child in connection with any of the Company C activities and further release Company C Dance Club, Flip Factory, its owners, directors, employees, independent contractors, agents and/or other representatives, from liability for any injury or loss sustained by my child while he or she participates in any Company C activity, including all risks reasonably connected with such activity whether foreseen or unforeseen.

I understand that Company C is not responsible for the supervision of my child or other children when not participating in a scheduled activity.

I understand that Company C is not responsible for personal property that is lost, damaged or stolen.

My signature below is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein. I am of lawful age and competent to sign this Waiver and Release from Liability. I am also lawfully permitted to do so on behalf of my child.

I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND HAVE READ THE SAME PRIOR TO SIGNING.

The undersigned gives permission to Company C Dance Club and/or The Flip Factory, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.

Tuition is due by the first week of each Session (Company C Co.)/Semester (Children's Classes, C2 or Mini Prep). If accounts are paid after the first week of each Session/Semester, there will be a $10.00 late fee applied to the account balance. There is a $25.00 returned check charge for any checks returned by the bank.

I authorize and agree that Company C may take and use photographs, videos or likenesses of my child within the scope of its business and that I have no rights to the same and will not be compensated for the same.