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PHOTO/VIDEO RELEASE &

COVID-19 AGREEMENT

In consideration of the services of Upside Aerial Arts & Fitness, LLC, (hereinafter referred to as the "Studio"), I hereby agree on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

PHOTO/VIDEO RELEASE

I understand that for safety and security, the Studio has a security video camera recording footage at all times. I understand that in the event of an insurance claim, these videos are required to be submitted to the Studio’s insurance provider for review. I understand the Studio may also take photographs or videos of me or my child ("Images") and copy, exhibit, publish, or distribute these Images for any lawful purpose. If I do not wish the Studio to use these Images, I can revoke this authorization at any time by notifying the Studio in writing. However, I understand that revoking my authorization does not apply to the video footage required by the Studio's insurance company or to photos or videos other Studio participants may take of themselves, in which I or my child my appear, over which the Studio does not have control. If authorization is not revoked in writing, Images taken by the Studio may be used in printed publications, multimedia presentations, websites, or any other distribution media. I agree that I will make no monetary or other claim against the Studio for use of the Images. In addition, I waive any right to inspect or approve the finished product wherein the Images appear. 

I understand I am welcome to take photos and videos of myself participating in Studio activities as long as it does not interfere with safety or my attentiveness to instruction. Providing instruction is the basis of the Studio's livelihood, so Studio instructors should not be filmed while teaching. I understand I can film myself performing skills, and if I am struggling with a particular skill, I can schedule a private lesson during which I can request permission to film an instructor.

 

COVID-19 AGREEMENT, RELEASE & ASSUMPTION OF RISK  

I agree to read and follow the Studio's COVID-19 policies (which are based on current CDC COVID-19 Guidelines):

  • MASKS: Masks are optional for everyone at our Studio as long as Alamance County's COVID Community level is designated as MEDIUM or LOW. If the CDC changes the COVID Community Level to HIGH at any time, masks will be required for everyone. Anyone who feels safer masking is fully supported in doing so. I understand I can check Alamance County's COVID Community level at any time on the CDC website here: https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html
  • WHEN TO STAY HOME: I will not come to the Studio if I have any COVID symptoms. If I have been exposed to COVID, I will avoid coming to the Studio for at least 5 days after exposure unless I am up-to-date on COVID vaccinations and boosters, have no symptoms, and have a negative test. If I test positive, I will not return to the Studio until I have no symptoms and it has been at least 5 days.
  • HAND-WASHING & DISINFECTION: I will wash my hands at the Studio sink or in the restrooms upon entering the studio. I will disinfect my mat using the supplies provided by the Studio after I'm done with my class.
  • CONTACT TRACING: I understand the Studio's booking system allows the Studio to know who was present in the studio and when. In the event the Studio becomes aware that an infected person was at the studio, both I and local health authorities will be contacted.
  • TOUCH-FREE PAYMENT: I understand and agree to the Studio’s booking & cancellation policy: “All bookings and payments must be made at least 24 hours in advance via our website or mobile app. Cancellations less than 24 hours prior to class for reasons unrelated to COVID-19 or emergency will not be refunded to ensure student access to limited-capacity classes and that our instructors are compensated for their time.”

I understand it is possible I or a family member could contract COVID-19 while I am making use of the Studio's services and/or facility. I agree not to hold Upside Aerial Arts & Fitness or any of its agents liable if I or a family member contract COVID-19 while I am making use of the Studio's services and/or facility. Further, I agree to inform the Studio immediately if I have developed COVID-19 symptoms or if I am diagnosed with COVID-19 within a 2 week period of being in the Studio for contact tracing purposes.

By signing this document, I acknowledge that I have read, understand, and agree to the above terms of the PHOTO/VIDEO RELEASE and the COVID-19 AGREEMENT, RELEASE & ASSUMPTION OF RISK.









First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Participant's Age Acknowledgment*
Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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