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ASSUMPTION OF RISK, HOLD HARMLESS & WAIVER OF LIABILITY RELATNG TO COVID-19

All persons attending or participating are required to fill out this waiver. Minor waivers (18 and under) must be filled out by a parent or legal guardian. All persons over the age of 18 are required to complete an individual waiver, however if an adult completes a waiver for a minor, they do not need to complete a second one for themselves.

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 be mainly from person-to-person contact including and not limited to respiratory droplets produced when people talk, cough and/or sneeze, as well as touching objects or surfaces that is contaminated and then touching your mouth, nose or eyes, and close personal contact.  The Center for Disease Control and Prevention (CDC) has recognized that the more people an individual interacts with at a gathering or event, and the longer the interaction lasts, the higher the potential risk of becoming infected with COVID-19 and COVID-19 spreading.  In turn, the CDC has established considerations for events to decrease the risk of exposure including personal prevention practices of handwashing for at least 20 seconds, maintaining 6 feet of distance and wearing a cloth face covering, as well as environmental prevention practices such as cleaning and disinfecting.  

Elite Dance Challenge, LLC has put in place preventative measures to reduce the spread of COVID-19; however, Elite Dance Challenge, LLC cannot guarantee that you or your child(ren) will not become infected with COVID-19 or later transmit COVID-19 to others with whom you may later come into contact with attending, and/or following the event.  Furthermore, attending an Elite Dance Challenge, LLC event could increase your risk and your child(ren)’s risk of contracting COVID-19.

In consideration of my attendance and/or participation at Elite Dance Challenge, LLC, by signing this Waiver of Liability and Hold Harmless Agreement, I expressly state that:

  • I acknowledge the contagious nature of COVID-19 and understand that exposure to COVID-19 may result in personal injury, illness, permanent disability and death to myself, my spouse, guests, unborn child, or anyone else I may thereafter come into contact with.  I understand that the risk of becoming exposed or infection by COVID-19 at Elite Dance Challenge, LLC event may result from my own actions, as well as those of others, including but not limited to Elite Dance Challenge, LLC officers, directors, employees, staff and volunteers, event participants or other event attendees.       

 

  • I hereby agree to voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participating or attending an Elite Dance Challenge, LLC event and accept sole responsibility for any injury, illness or death that may occur as a result of exposure, infection or illness, I understand and agree that this assumption of risk is also a release from liability and includes any claims based on the actions, omissions or negligence of Elite Dance Challenge, LLC or its officers, directors, employees, staff and volunteers, whether a COVID-19 exposure or infection occurs before, during, or after my participation and/or attendance at an Elite Dance Challenge, LLC event.

 

  • I acknowledge and understand that the officers, directors, employees, staff and volunteers of Elite Dance Challenge, LLC have participated in planning and/or hosting the event and may have given recommendations regarding the premises or the preventative measures in place during the event.  I voluntarily agree to release, waive, discharge and covenant not to sue on my behalf and on the behalf of others for whom I may be responsible for, those with whom I interact, including the officers, directors, employees, staff and volunteers of Elite Dance Challenge, LLC.  I further agree to hold harmless the officers, directors, employees, staff and volunteers of Elite Dance Challenge, LLC from any and all liability to me or those for whom I may be responsible, from and against any loss, damage, claim or demand, whether caused by the negligence of those released or third parties for whom may not be responsible.  I further agree to indemnify the officers, directors, employees, staff and volunteers of Elite Dance Challenge, LLC from any loss, liability, damages, claims or costs that may be incurred arising out of or related to my illness, exposure, and/or death as a result of COVID-19, whether caused by the negligence of the Releases or otherwise.

By signing this agreement, I submit and expressly acknowledge that I am signing this agreement freely and voluntarily, and without inducement, assurance or guarantee being made to me; and expressly intend that my electronic signature is complete and unconditional release of all liability to the greatest extent allowed by law.  

 

 

First Attendee's Name

First Name*

Middle Name

Last Name*

Phone*
First Attendee's Date of Birth*
First Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
First Attendee's Signature*
Second Attendee's Name

First Name*

Middle Name

Last Name*
Second Attendee's Date of Birth*
Second Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Third Attendee's Name

First Name*

Middle Name

Last Name*
Third Attendee's Date of Birth*
Third Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Fourth Attendee's Name

First Name*

Middle Name

Last Name*
Fourth Attendee's Date of Birth*
Fourth Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Fifth Attendee's Name

First Name*

Middle Name

Last Name*
Fifth Attendee's Date of Birth*
Fifth Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Sixth Attendee's Name

First Name*

Middle Name

Last Name*
Sixth Attendee's Date of Birth*
Sixth Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Seventh Attendee's Name

First Name*

Middle Name

Last Name*
Seventh Attendee's Date of Birth*
Seventh Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Eighth Attendee's Name

First Name*

Middle Name

Last Name*
Eighth Attendee's Date of Birth*
Eighth Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Ninth Attendee's Name

First Name*

Middle Name

Last Name*
Ninth Attendee's Date of Birth*
Ninth Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Tenth Attendee's Name

First Name*

Middle Name

Last Name*
Tenth Attendee's Date of Birth*
Tenth Attendee's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
1) Have you demonstrated any symptoms of COVID-19 within the past 14 days including fever, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea?**
No
Yes
2) Have you been diagnosed with or been in any way exposed to any communicable diseases (including, but not limited to COVID-19) within the past 14 days?**
No
Yes
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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