Lake Hopatcong: 973-663-2009      Sparta: 973-729-9449

Lake Hopatcong: 973-663-2009 Sparta: 973-729-9449

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Special Waiver

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Special Waiver

Complete One for Each Student

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

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 spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

The Dance Academy of North Jersey (DANJ) has put in place preventative measures to reduce the spread of COVID-19; however, DANJ cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending DANJ could increase your risk and your child(ren)’s risk of contracting COVID-19.

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 DANJ and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at DANJ may result from the actions, omissions, or negligence of myself and others, including, but not limited to, DANJ 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 DANJ or participation in DANJ classes or other activities. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless DANJ, 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 DANJ, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any DANJ program, class or event.

Signature of Parent/Guardian
I agree to the terms and conditions


As the legal parent or guardian of the Student, I hereby release and hold harmless The Dance Academy of North Jersey, as well as their owners, operators, instructors, contractors and volunteers from and against any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, misadventure, harm, cost, damage, or injury, including death, and the possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza and COVID-19, that may be sustained by the Student while in or upon (i) the DANJ premises or any premises under the control and supervision of DANJ, their owners and operators, or while en route to or from any of such premises; or (ii) any premises under the control of Parent, Guardian or third party.

The Parent, Legal Guardian, or Adult Student named below/undersigned acknowledges that the Coronavirus (“COVID-19”) represents a serious health condition for persons exposed to it and that all students and parents/guardians for students currently enrolled at The Dance Academy of North Jersey (DANJ) are relying on the truthfulness and accuracy of the following certifications:

  1. To the best of their knowledge, information, and belief, the Student nor any member of their household with whom they live:
    • Has been diagnosed (tested positive) for COVID-19 or has a test pending for COVID-19;
    • Shows signs of suspected COVID-19 (fever, cough, shortness of breath, headache, fatigue, etc.);
    • Has had contact with anyone diagnosed with COVID-19;
    • Is under quarantine directed by a healthcare provider due to COVID-19 concerns;
    • Has traveled to any nationally recognized “hot zone” in the previous 14 days;
    • Has traveled within the past 14 days to anywhere designated as having widespread ongoing transmission of COVID-19, defined by the CDC as a Level 3 Health Notice Country (for a current list of US Travel and Level 3 Health Notice Countries, visit: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html).
  2. The undersigned acknowledges that there is presently no home/self-test kit available to detect COVID-19 and that the virus cannot be observed by a visual inspection.
  3. The undersigned acknowledges that there is no guarantee or warranty that other students or staff are free from COVID-19 and therefore, that each Parent/Legal Guardian/Adult Student voluntarily assumes the risk on behalf of the Student named below of attending classes at DANJ location(s).
  4. The undersigned agrees that if any representation made in this acknowledgement should become untrue, they will immediately inform DANJ Studio Directors of the change.

As the Parent, Legal Guardian of the Student named below (or such Adult Student), I accept the above statements, and agree to hold harmless The Dance Academy of North Jersey, its owners and staff from any and all liability arising out of or related to the COVID-19 virus.


Lake Hopatcong

768 Route 15 South
973-663-2009
dance.danj@gmail.com

Sparta

328 Sparta Ave
973-729-9449
dance.danj@gmail.com


Lake Hopatcong

768 Route 15 South
973-663-2009
dance.danj@gmail.com

Sparta

328 Sparta Ave
973-729-9449
dance.danj@gmail.com