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The Salsa Center LLC Liability Waiver and Acknowledgment of Risk.

817 Lane Allen Rd, Lexington, KY 40504

The Salsa Center LLC Liability Waiver and Acknowledgment of Risk

READ CAREFULLY BEFORE SIGNING

I understand and agree that in participating in any dance class, workshop, rehearsal, or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident which might occur to me or a minor that I am responsible for during any of The Salsa Center LLC classes, rehearsals, performances, or any kind of activities. I also exempt, release, and indemnify The Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky), its owners,  heirs, next of kin, successors, volunteers, assistants and employees from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by The Salsa Center. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold The Salsa Center LLC, its owners, heirs, next of kin, successors, volunteers, assistants, and employees liable for such damage, loss, injury or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children I certify that I am the parent or legal guardian and have the right to waive these rights.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 

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. The Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky) has put in place preventative measures to reduce the spread of COVID-19; however, The Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky) cannot guarantee that you will not become infected with COVID-19. Further, participation could increase your risk of contracting COVID-19.


READ CAREFULLY BEFORE SIGNING

I expressly acknowledge that naturally occurring disease processes (including, but not limited to, the currently widespread COVID-19) may be present and actively occurring in all environments in which this activity will take place.  I acknowledge that, while The Salsa Center LLC has taken reasonable measures to mitigate the potential for transmittal of, and exposure to such viruses or communicable diseases between individuals and Sample Company staff participating in the Activity, that exposure to such viruses or disease is an inherent risk of participating in the Activity, one that cannot be eliminated by The Salsa Center LLC.  As such, I expressly acknowledge and agree that it is ultimately my decision to participate notwithstanding that risk, and that I am responsible for mitigating my own risk of exposure to such viruses or disease.  I agree that The Salsa Center LLC shall not have any liability to me in the event I contract a virus or disease while participating in the Activity, and I expressly waive my right to bring such a claim.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation at The Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless The Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky), its employees, agents, and representatives, of and from the 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 Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky), its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation atThe Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky).

I represent that I have adequate insurance to cover any injury or illness I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.

By signing this document, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.

Indemnity

In the event that I file a lawsuit, I agree to do so in the state of KY, and I further agree that the substantive law of that state shall apply. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.  Should The Salsa Center LLC or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree on behalf of myself and any of the children for which I am responsible to indemnify and hold them harmless (in other words, I agree to pay for...) for all such defense fees and costs.

Photographic Assignment:

I understand that The Salsa Center LLC reserves the right to take photos or film (of whatsoever nature) records of any or all of its activities or trips and on behalf of myself and any of the children for which I am responsible I/we hereby agree that The Salsa Center LLC may use such records for promotional and/or commercial purposes without any remuneration to me. I/we hereby assign all right, title and interest I/we may have in or to any and all media in which my name or likeness might be used by The Salsa Center LLC.

I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms.

If I have signed a separate general waiver of liability connected to my participation at The Salsa Center LLC (located at 817 Lane Allen Rd, Lexington Ky), I agree that the terms of that waiver are wholly incorporated into this document and that the terms of this document are incorporated into the separate general waiver.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

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Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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