I verify that my dancer does not have any of the symptoms below, and has not come in contact with anyone who has shown signs of any of the below symptoms, that is not attributable to another condition, in the past 14 days.
- Fever or chills
- Cough, shortness of breath or difficulty breathing
- Muscle or body aches
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea, vomiting or diarrhea
RELEASE OF LIABILITY - READ BEFORE SIGNING
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT: In consideration of being allowed to participate on behalf of Rainier Dance Center and related in-person dance classes, events and activities, the undersigned acknowledges, appreciates, and agrees that:
- Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While strict rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
- I, and my dancer, willingly agree to comply with the stated and customary safety procedures, terms and conditions for participation as regards protection against infectious diseases. If, however, I or my dancer observe any unusual or significant hazard during my presence or participation, or if I, or my dancer are not able to follow the policies and conditions for participation, I, or my dancer, will remove themselves from participation and bring such to the attention of the nearest RDC teacher immediately or will be removed by RDC staff; and,
- I, for myself and on behalf of my dancer/heirs, assigns personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Rainier Dance Center, their officers, officials, agents, and/or employees, other participants, and if applicable, owners and/or lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.