I understand that I will be charged a yearly Registration fee of $30.00. The fee for additional students per family is $15. This fee will be charged to my account upon registration for my student and is non refundable.

FAMILIES ALREADY ENROLLED IN OUR SYSTEM SHOULD USE PARENT PROTAL TO REGISTER FOR CLASS.

I understand that monthly charges billed to my students statement are auto debited on the 1st day of the month, and that $10.00 late fee will be assessed if not received by the 5th of the month. A non-refundable registration fee of $30 is due with the initial payment/registration for the year/session. This fee is added to the total due. The fee for additional students per family is $15. Students enrolled in more than one class will receive a $10 multi class discount for each additional class enrolled. A CREDIT CARD OR DEBIT CARD MUST BE ON FILE TO REGISTER.


I also understand that Impulse Dance Center is hereby authorized to initiate payment for all amounts billed to my statement through automatic credit card billing. I understand that Impulse Dance Center will initiate payment from my credit card on the 1st day of each month. I also understand that if my account history does not show a delinquent balance or charge I may pay with cash, checks, money orders or other credit/debit cards if paid before the 1st day of the month. A $30.00 fee will be charged for all returned checks. I understand that there are NO REFUNDS. If my card declines or expires and I don't show for my class I understand that I will still have to pay for the class.

1. Participants acknowledge that dance can involve known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or other injury to participants or damage to property, or injury to third parties. Participants understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

2. The risks include, among other things: collisions with dancers, personnel and other participants; supervised and unsupervised falls on the dance floors; improper landings when executing difficult dance movement, equipment malfunction or failure; any and all of which may result in minor strains and sprains, broken bones, catastrophic injury, paralysis and even death; as well as, other injuries, damages, and losses associated with participation in dance activity.

3. It is the participant's responsibility to inform Impulse Dance Center if the participant feels they are unable to safely attempt an activity or portion of any dance routine. Without this information dance instructors may give inadequate warnings or instruction. Please make sure to openly communicate with staff any possible risks that may occur while dancing.

4. Participants expressly agree and promise to accept and assume all risks existing in this activity. Our involvement in this activity is purely voluntary, and we elect to participate in spite of the risks involved. Additionally, we acknowledge an understanding of and agree to follow all rules and regulation established by Impulse.

5. Participants hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Impulse Dance Center from any and all claims, demands, or causes of action, which are in any way connected with our participation in this activity or our use of Impulse Dance Center's facilities, including and such claims or actions which may allege negligent acts or omissions of Impulse, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf. We hereby give our consent to Impulse Dance Center to provide customary dance instruction training attentions, transportation, and emergency medical services reasonably warranted in the course of our participation.

6. In the event I file a lawsuit against Impulse Dance Center, I agree to do so solely in the state of Alabama, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state.

7. Should Impulse Dance Center or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement, we agree to indemnify and hold Impulse Dance Center harmless for all such fees and costs.

8. We certify that we have adequate insurance to cover any injury or damage we may cause or suffer while located and participating at Impulse Dance Center, or else we agree to bear the costs of such injury or damage ourselves. We further certify that we have no medical or physical condition that could interfere with our safety in this activity, or else we are willing to assume all risks and bear all costs of any resulting injury or damage directly or indirectly related to any such condition.


9. I hereby give consent for myself and/or child to be photographed or videotaped during class, rehearsal, or recital by Impulse Dance Center its employees and agents. This includes but is not limited to photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. I agree that Impulse Dance Center owns the images and all rights related to them. The images may be used in any manner or media without notifying me, such as websites, publications, promotions, broadcasts, advertisements, posters and social media.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during our participation in this activity, or while observing similar activities, we may be found by a court of law to have waived our right to maintain a lawsuit against Impulse Dance Center on the basis of any claim from which we have assumed the risk and/or released Impulse Dance Center from as described in this agreement.

I understand that Impulse Dance Center reserves the right to change the policies and terms of agreement at any time. Any changes will be emailed out to the email addresses on file. I further understand that if I have any questions about the policies that I will contact Impulse Dance Center via email at info@impulsemadison.com or at 256.585.8339.

COVID-19 ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY

As used herein, "IMPULSE" shall refer to "Impulse Performing Arts Studios", and their officers, agents, owners, members, directors, employees, representatives, successors and assigns. "IMPULSE LOCATION" shall mean the studios on the property and surrounding outdoor areas, including the driveway and parking lot and means of entry and exit to and from the facility and parking lot. The student referred to as "My Student".

The World Health Organization has declared the novel coronavirus (COVID-19) a worldwide pandemic capable of transmission from person-to-person. IMPULSE will use reasonable efforts to promote the health and safety of ALL IMPULSE students. However, because of the nature of the virus, IMPULSE cannot and will not 100% GUARANTEE the safety of those persons participating in activities on the IMPULSE premises.

I understand that IMPULSE has been permitted by the government to reopen its doors under certain limited conditions, but the risk of being infected with the COVID-19 virus still exists to me, My Student, members of our families and others who access the IMPULSE Premises. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. Some of the carriers of the virus never show any symptoms. It is therefore impossible to determine who has it and who does not. I understand that all of the health risks of the COVID-19 are not known at this time, but I understand that the COVID-19 virus is highly contagious. I further understand that COVID-19 may cause serious and perhaps lifelong health hazards and can be fatal.
Notwithstanding the precautions taken by and disinfecting done by IMPULSE, I understand that due to volume of students and employees using the IMPULSE Premises, the frequency of visits by individuals to IMPULSE, the characteristics of the virus, and the characteristics of the IMPULSE facilities, My Student and I (if present or located on the IMPULSE Premises or around My Student after his/her presence at IMPULSE) has an elevated risk of contracting the virus simply by being on the IMPULSE Premises.

EVERY TIME My Student enters the IMPULSE Premises, I agree that the following statements are true and correct to the best of my knowledge:
• My Student does not have the COVID-19 virus or any of the symptoms thereof (fever above 99°, shortness of breath, loss of sense of taste or smell, dry cough, or sore throat)
• My Student has not been tested for the COVID-19 virus, or if My Student has been tested for it, My Student has received negative results.
• My Student has not been around anyone with COVID-19 symptoms in the past 14 days to my knowledge.
• My Student does not live with and has not been around anyone who is sick or quarantined.
• My Student has not traveled by commercial airline, bus, or train within the past 14 days.
• I verify that My Student will comply with all COVID-19 policies currently put into practice by ACE, and all recommendations of the CDC.
• I agree to immediately notify IMPULSE in writing, if My Student or someone living in any place where My Student resides or has been present tests positive for COVID-19, or shows symptoms of COVID-19.
• I agree that My Student will not enter the Impulse Premises if I cannot agree to any of the above statements on any given day or time.

With full knowledge of the risks associated with COVID-19, I, on behalf of myself and my minor children and/or wards, our heirs, executors, and personal representatives, hereby release, waive, and discharge IMPULSE , its officers, members, owners, agents, directors, employees, independent contractors, affiliates, representatives, successors and assigns from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly, arising out of or related to any loss, damage, injury, or death, that may be sustained by My Student or myself related to COVID-19 while participating in any activity while on, in, or around the Impulse Premises, or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. I further agree to indemnify, defend, and hold harmless Impulse from and against any and all costs, expenses, damages, losses, and or liabilities or claims arising whether directly or indirectly from or related to any such claims made by or against any of the released parties above.
By electronically signing below, I acknowledge that I have read the foregoing liability release waiver and understand its contents; that I am at least 19 years old and fully competent and that I am the parent or legal guardian of My student and authorized to give my consent on my behalf and/or on behalf of My Student; that no other authorization or approval is needed to execute this Agreement (including from any other parent or legal guardian or other representative), and that I have been sufficiently informed of the risks involved and give my voluntary consent to this waiver, free from any inducement or representation.