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Covid-19 Release Waiver

Please complete the entire form

Parent's Name

Dancer's Name

Email Address

Address
Phone Number
Covid-19 Release Waiver
I release EXPRESS Dance & Acrobatics LLC, it’s instructors, independent contractors, and all other associates from liability for harm, theft, or injury that may be suffered by me and/or members of my family traveling to or from or during participation in activities and programs sponsored by EXPRESS Dance. & Acrobatics LLC. I hereby acknowledge that I am voluntarily assuming full responsibility for all risks of physical injury arising out of active participation in a dance class cheer, camp, or other dance related activities. I acknowledge the contagious nature of COVID-19 and other contagious diseases and viruses and voluntary assume the risk that I and/or my children may be exposed to or infected by COVID-19 by attending and participating and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 and other contagious diseases and viruses may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, independent contractors, volunteers, and program participants and their families. I release EXPRESS Dance. & Acrobatics LLC its instructors, independent contractors and all associates from liability for harm, injury or death pertaining to COVID-19 and other contagious diseases and viruses. I understand that there are NO refunds for registration fees, costumes or classes. I understand and agree to EXPRESS Dance. & Acrobatics LLC policies and procedures. I understand that my student must have this release form signed before attending classes, clinics or camps
By typing my name below I am stating that I have read and agree to all the terms and conditions contained in the Covid-19 Release Waiver above.
 

 

 

express dance and acro

132 Central Street  |  Milford, MA  |  (508) 478-9222  |  expressda5678@gmail.com