I understand that there are risks of physical injury associated with, arising out of, and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to David Kieffer LLC doing business as The Dance Connection, it’s officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as “The Dance Connection”). I hereby agree to release The Dance Connection and hold The Dance Connection harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of myself or my minor child.

I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation. I have had an opportunity to discuss this release with an attorney before signing it if I chose to do so.

I do hereby consent to the use by David Kieffer, LLC, doing business as The Dance Connection (collectively, the "Company") and its agents or employees, to use photographs taken of me (or my minor child) at the Company or any other location, by a professional photographer (a "Photographer") hired by the Company, or by Company employees or agents, to be used for any lawful purpose.

I hereby waive the right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to any form of payment, compensation, royalties or any other form of consideration relating to the use of the photographs.

I hereby release, defend and hold harmless the Company and its officers, directors, employees, agents and representatives of any kind, from and against any claims, damages or liability arising from or relating to the use of the photographs.

I understand that the Company is not responsible for the acts or omissions of a Photographer and makes no representations or warranties of any kind regarding the quality of the pictures of me (or my minor child).

I attest that I have read this consent form and fully understand its contents.

I hereby authorize The Dance Connection to charge my credit card, or debit account automatically on a monthly basis for outstanding balances. I also authorize The Dance Connection for any delinquent charges that may accrue in the future. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify The Dance Connection in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. I acknowledge that the origination of Credit Card transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Credit Card and will not dispute these scheduled transactions; so long as the transactions correspond to the terms indicated in this authorization form.

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.

The Dance Connection ("the studio") has implemented a COVID-19 Reopening Plan which can be found on our website. While the Studio is taking extra precautions, we cannot guarantee that you or your family (those included in your bond / membership) will not become infected with COVID-19. Moreover, attending the Studio could increase your risk and your family's risk of contracting COVID-19. As a result, all dancers and families are requested to comply with the new rules and regulations put in place for everyone's safety and satisfaction of the Studio facilities.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my family, my guests, or I could be exposed to or infected by COVID-19 by being in the Studio and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Studio may result from actions, omissions, or negligence of myself and others, including but not limited to, Studio employees and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my family, my guests, or myself (including, but not limited to, personal injury, disability, and death, illness, damage, loss claim, liability, or expense of any kind, that my family, my guests, or myself may experience or incur in connection with my and/or my family's attendance at the Studio or participation in Studio activities). On my behalf, and on behalf of my family, and my guests, I hereby release, covenant not to sue, discharge, and hold harmless the Studio, its employees, agents, and representatives, of and from any 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 the Studio, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Studio activity.

Lastly, by signing this agreement, I acknowledge and agree that the Studio's managers and staff have been empowered to enforce the Studio's rules and regulations relating to social distancing and sanitation. I understand that the staff are empowered to ask me and/or my family and guests, to vacate the facility should we fail to follow the guidelines.