Loading...

Participant Agreement, Release and Assumption of Risk

In consideration of the services of Aloft Dance LLC, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "Aloft"), I hereby agree to release, indemnify, and discharge Aloft, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representatives and estate as follows:

1 . I acknowledge that my participation in manipulation skills, equilibristic skills, acrobatic skills, drama skills, aerial arts, stagecraft and other various disciplines training and instruction activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: slips and falls; falling from equipment; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening hazards; strains, muscle soreness and fractures; musculoskeletal injuries including head, neck, and back; injuries to internal organs; the negligence of other people; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with this activity. Traveling to and from shows, meets, and exhibitions raises the possibility of any manner of transportation accidents. In any event, if my child or myself is injured, any medical assistance will be at my own expense. Furthermore, Aloft employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction

2. I represent that I am in good health and have had no known exposure to COVID-19 or any other infectious disease. I have had no symptoms of COVID-19, including cough, shortness of breath or difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, loss of taste or smell, diarrhea, or feeling feverish or a measured temperature greater than 99.6 degrees, for 14 days prior to attending the facility. I acknowledge that if I believe I have had any exposure to COVID-19, I will immediately cease attendance at the facility until I can again warrant that I have had no known exposure for the 14 day period and alert the facility if I have been on the premises since my exposure.

3.I am aware that training during and after the COVID-19 pandemic involves certain inherent risks, dangers and hazards, which can result in serious infection, personal injury or death. I further acknowledge, understand, appreciate, and agree that my participation may result in possible exposure to and illness from COVID-19. While protocols and personal discipline may reduce this risk, the risk of serious injury, illness, and even death is not possible to fully mitigate.

4. I hereby freely agree, to assume and accept all known and unknown risks of exposure to COVID-19, even arising from the negligence of the releasees or others and assume full responsibility for my participation. I further recognize and acknowledge that the risks inherent in training can be greatly reduced by, and therefore expressly agree to perform these safety precautions:

  • Washing my hands thoroughly before and after my training session
  • Doing my best to not touch my eyes, nose, mouth, or other parts of my face
  • Not coming to the studio if I experience any symptoms consistent with COVID-19, or have had a recent known or suspected exposure to a person with COVID-19

5. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate despite the risks.

6. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Aloft from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Aloftʼs equipment or facilities, including any such claims which allege negligent acts or omissions of Aloft.

7. Should Aloft, or anyone acting on their behalf, be required to incur attorneysʼ fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

8. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

9. In the event that I file a lawsuit against Aloft, I agree to do so solely in the state of Illinois, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

SAFETY POLICIES

Everyone must sign a waiver and entry survey.

Everyone must sign a waiver before attending class, training, or using any Aloft apparatus. In addition, an entry survey must be completed before each visit to the studio.

Stay home if you are sick.

If you are experiencing symptoms consistent with COVID-19 or other known infectious diseases, please stay at home. We will take temperatures of all participants upon entry and your entry and exit will be logged in our contact tracing log. If you are found to have a temperature equal to or greater than 99.6 degrees, or showing symptoms consistent with COVID-19, you will be asked to leave immediately.

Dress appropriately.

Dress appropriately for the apparatus you are working with. For most aerial apparatuses, this means close-fitting workout clothes that cover the legs and underarms. Do not wear items that have zippers, exposed buttons, or hard seams. Do not wear jewelry, unsecured eyeglasses, grommets or any other objects that can snag or tear the equipment.

Train clean.

Do not consume alcohol before class or training; drug use is prohibited. If you are suspected to be under the influence of any substance, you will be asked to leave.

Get warm and stay hydrated.

Please arrive to class on time and ready for warm-up. If you are attending Open Studio, be sure to warm up on your own in the studio before beginning aerial work. Come hydrated and stay hydrated! Bring your own water bottle and drink water throughout your workout.

Exercise good hygiene.

In a space with shared apparatuses and training space, it is important that all students practice good hygiene. You must wash your hands upon entering the studio and we strongly recommend washing your hands after use of grip aids. Avoid touching your face. Additionally, we request that everyone avoid heavy fragrances and lotions.

Respect your environment.

Be respectful to the teachers, employees, your fellow students, and the studio. Please take your shoes off upon entering the studio. No shoes on the mats or apparatus. Please wear appropriate footwear when walking around outside of the Aloft studio. Please ask a trained member of the Aloft staff if you need equipment adjusted for any reason.

No glass containers of any kind.

With hard floors and bare feet, it's not worth the danger. Please bring water in other kinds of containers.

Be aware of your surroundings.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Aloft on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Today's Date: May 2, 2024

First Student's Name

First Name*

Last Name*

Phone*
First Student's Date of Birth*
First Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
First Student's Signature*
Second Student's Name

First Name*

Last Name*
Second Student's Date of Birth*
Second Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Third Student's Name

First Name*

Last Name*
Third Student's Date of Birth*
Third Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Fourth Student's Name

First Name*

Last Name*
Fourth Student's Date of Birth*
Fourth Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Fifth Student's Name

First Name*

Last Name*
Fifth Student's Date of Birth*
Fifth Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Sixth Student's Name

First Name*

Last Name*
Sixth Student's Date of Birth*
Sixth Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Seventh Student's Name

First Name*

Last Name*
Seventh Student's Date of Birth*
Seventh Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Eighth Student's Name

First Name*

Last Name*
Eighth Student's Date of Birth*
Eighth Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Ninth Student's Name

First Name*

Last Name*
Ninth Student's Date of Birth*
Ninth Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Tenth Student's Name

First Name*

Last Name*
Tenth Student's Date of Birth*
Tenth Student's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
Student's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Prefered Pronouns

Tell us something you want us to know about you that will help us make sure you feel welcome as a part of the Aloft community.
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!