Covid 19 Waiver Fields that have an * are required. The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing as well as strict cleaning protocols. Howell Academy of Dance Inc. has put in place many preventative measures to reduce the spread of COVID-19; however, Howell Academy of Dance Inc. cannot guarantee that you or your child(ren) will not become infected with COVID-19 by entering our facility. Consent - I Agree* By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Howell Academy of Dance Inc. classes and events they hold or attend and that such exposure or infection may result in personal illness. I understand that the risk of becoming exposed to or infected by COVID-19 at Howell Academy of Dance Inc. may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Howell Academy of Dance Inc. employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Howell Academy of Dance Inc. or participation in Howell Academy of Dance Inc. programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Howell Academy of Dance Inc., 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 Howell Academy of Dance Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Howell Academy of Dance Inc. program.Parent's Name* First Last Parent's Name - As Your Digital Signature* Name(s) of Howell Academy of Dance Participants* Today's Date MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.
