Waiver Liability & Covid Release Form

INJURY AND ACCIDENT WAIVER AND RELEASE OF LIABILITY

In consideration of the risk of injury while participating in dance (whether joining online classes or in-person) (the “Activity”), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge DanzStar Studio, located at 945 PROVIDENCE SQUARE, SHOPPING CENTER, VIRGINIA BEACH, VA 23464.

  • I am voluntarily participating in the aforementioned activity and have agreed to do so at my own risk. I am aware of the risk associated with traveling, which may include, but are not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis) economic or emotional loss, and death. I understand that these injuries or outcomes may arise  from my own or others’ negligence, conditions related to travel and physical activity. Nonetheless, I assume all related risks, both known and unknown to me, including travel to, from and during this activity. I acknowledge that DanzStar Studio and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of DanzStar Studio.
  • In the event that any damage to equipment or facilities occurs as a result of my or my family’s willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.
  • I agree to indemnify and hold harmless DanzStar Studio against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney’s fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If DanzStar Studio incurs any of these types of expenses, I agree to reimburse.
  • This Agreement was entered into at arm’s-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both the Participant and DanzStar Studio agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into.
  • In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.

By completing this form, 

I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; I am at least eighteen (18) years old and fully competent to give my consent; I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

By submitting here, you are consenting to use of your electronic initials in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead which we can have ready for you at your next studio visit. After consent, you may request a digital or paper copy of this waiver for your records. 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. *

DanzStar Studio

COVID-19 Liability Release Waiver

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which WM Ministries (the “Organization”) adheres.

In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following:

  • I understand that DanzStar Studio is following all precautions and disinfection practices, but due to the nature of this virus that it doesn’t mean I cannot contract the virus but that it will greatly reduce my chance of it being that it is an airborne virus. I am aware of the existence of the risk of my physical appearance to the venue and my participation in the activity of Danzstar Studio may cause injury or illness such as, but not limited to, Influenza, MRSA, or COVID-19 that may lead to paralysis or death.
  • I have not experienced the following symptoms; fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
  • I have not, nor any member(s) of my household, traveled by sea or by air internationally within the past 14 days.
  • I, nor any member of my household, did not visit any area within the United States that was reported to be highly affected by COVID-19, in the last 14 days.

Following the pronouncements above, I hereby declare the following:

  • I am fully and personally responsible for my own safety and actions while a  nnd during my participation, and I recognize that I may be, in any case, be at risk of contracting COVID-19.
  • With full knowledge of the risks involved, I hereby release, waive, discharge DanzStar Studio; their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.
  • I agree to indemnify, defend, and hold harmless WM Ministries from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.

By completing this form, 

I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; I am at least eighteen (18) years old and fully competent to give my consent; I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

By checking here, you are consenting to use of your electronic initials in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead which we can have ready for you at your next studio visit. After consent, you may request a digital or paper copy of this waiver for your records. 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. *