By submitting this form the applicant certifies that s/he is the parent and/or legal guardian of the above minor child. I give permission for the above named student to participate in the program offered by WALDORF BALLET LTD. I hereby release WALDORF BALLET LTD, its owners, directors, staff, employees, and independent contractors, volunteer helpers, and landlords from any and all liability that may result from myself, my children, or any member of my family participating in dance lessons, rehearsals, or any function sponsored by WALDORF BALLET LTD.
I agree to hold WALDORF BALLET LTD its owners, directors, staff, employees and independent contractors, volunteer helpers, and landlords 100% harmless for any and all injury that may result from my dancer, myself, or any member of my family participating in the activities listed above. Our participation is completely voluntary.
I have listed any special medical problems that I have or my child receiving dance lessons has below. Our family doctor approves of our participation in the above listed activities in spite of these medical problems. I further authorize any representative of WALDORF BALLET LTD to obtain any medical treatment that may be deemed necessary.
I further give permission for any photos and videos taken during this program to be used in promotion of WALDORF BALLET LTD.
NEW COVID-19 RELEASE OF LIABILITY
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. It is believed that an individual can be in infected with COVID-19 without their knowledge and be asymptomatic. WALDORF BALLET LTD has put in place preventative measures to reduce the spread of COVID-19. However, WALDORF BALLET LTD cannot guarantee that participants or anyone else will not become infected with COVID-19, including parents, guests, unborn child, or relatives. Participation in a WALDORF BALLET LTD program(s), related event, or activity, could increase the risk of contracting COVID-19. By signing this agreement, I ACKNOWLEDGE the contagious nature of COVID-19 and VOLUNTARILY ASSUME THE RISK that myself and my child may be exposed to or infected by COVID-19 by participating in a WALDORF BALLET LTD program(s), related event, or activity, and that such exposure or infection may result in personal injury, illness, permanent disability, and death to my child, myself, my spouse, guests, unborn child, or relatives. I understand that the risk of becoming exposed to or infected by COVID-19 at a WALDORF BALLET LTD program(s), related event, or activity may result from the actions, omissions, or negligence of myself or others, including, but not limited to, WALDORF BALLET LTD employees, volunteers, contractors, and program participants. I UNDERSTAND AND VOLUNTARILY ACCEPT AND ASSUME ALL the foregoing risks related to COVID-19 and accept sole responsibility for any injury or illness that may occur. Further, I UNDERSTAND AND AGREE that this release includes any claims based on the actions, omissions, or negligence of WALDORF BALLET LTD, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any WALDORF BALLET LTD program(s), related event, or activity.
I have read and agree to the studio policy information on the schedule page here:
I have read and reviewed the above waiver and agree to it's content.
Please ensure all fields are completed in order to submit.