Ellensburg Dance Ensemble Liability Waiver 
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Activity of Participant and Date of Participation
**Please Initial below
Existing Medical Conditions:

I/My Child am not aware of any medical condition I/My Child have that should preclude me from participating in dance activities. I/My Child understand there is a definitive risk of injury associated with dancing and/or performing, and that such injuries include, but are not limited to bruises, dislocations, broken bones, torn or damaged muscles and ligaments, paralysis, and even death. I/My Child understand that such injuries may be caused in whole or in party by myself, or by the actions or inactions of other students or instructors.


I/My child agree(s) to immediately stop performing any activity if I/they feel any pain, dizziness, light-headedness, or any other symptoms, and to immediately report those symptoms to the instructor. I/they also agree to carefully follow the instructors’ directions, to ask for additional directions if I do not understand any particular activity, and to immediately stop any activity which I/they believe I am/they are not competent or confident enough to perform.


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**Please Initial Below
General Liability: 

To the fullest extent permitted by law, I/they agree and represent that I/they assume the risk and responsibility for any and all injuries to myself that I/they sustain while performing any dance or activities, including any and all costs and damages that are a consequence of such injuries, and whether such injuries, costs and damages were caused in whole or in part by the Ellensburg Dance Ensemble students, or instructors, or the Artistic/Program Director.


To the fullest extent permitted by law, I/My Child agree to defend, indemnify and hold harmless the Ellensburg Dance Ensemble, the Artistic/Program Director, and their instructors, agents, employees, contractors, clients, and students, from and against all claims, costs, damages, losses and expenses, including but not limited to attorney’s fees, arising out of or resulting from my/my child’s performance or other participation in any dance or activities, regardless of whether or not such claim, cost, damage, loss or expense, was caused in part by a party indemnified hereunder.

I/My Child understand that in connection with the COVID-19 pandemic, the Ellensburg Dance Ensemble is requiring all individuals who enter onto the premises, take a class via remote learning, or otherwise participate in any Ellensburg Dance Ensemble production or event to execute this Waiver and Release of Liability, acknowledging the risks related to COVID-19 as well as such other injuries that may result from such activities.


The waiver, release and other representations and covenants set forth herein are given in consideration for Ellensburg Dance Ensemble permitting me and/or my child or ward to enter onto Ellensburg Dance Ensemble premises, take a class via remote learning, or otherwise participate in any Ellensburg Dance Ensemble production or event. 


 I/My Child further agree and request for myself and/or my minor children that our relevant health information regarding personal health information, care and treatment be released for the limited purpose of contact tracing related to the novel coronavirus COVID-19 pandemic.  


 I/My Child understand that should I be diagnosed with COVID-19 I/My Child must immediately withdraw from my scheduled class or rehearsal if I/My Child have not attended. If I/My Child have attended the class or rehearsal in the past 14 days, I/My Child must notify the Ellensburg Dance Ensemble program. I/My Child understand that, in accordance with the refund policy of the Ellensburg Dance Ensemble, I/My Child may not be eligible for a refund.  


In the event that the participant/student is a minor or is not of such capacity to be held legally responsible for executing this agreement, the undersigned parent and/or legal guardian signs this on behalf of the participant/student and individually. If, despite this release, the participant makes a claim against any of the Releases, the parent(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.

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**Please Initial Below
Photo Release:

I/My Child understand that The Studio may take photos of classes for use in promotional materials, including but not limited to, the EDE website and on social media.


I/My Child agree that The Studio and/or Ellensburg Dance Ensemble may use their photograph in all such promotions and/or advertising.

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**Please Sign Your Name Below & Provide Your Email Address
Contact Authorization:

I authorize the Ellensburg Dance Ensemble to use my personal information – email address, mailing address, and/or telephone number – to contact me regarding matters related directly to EDE and/or The Studio by EDE, including, but not limited to registration, payments, fees, donations, marketing, emergencies, and general updates. Ellensburg Dance Ensemble will not sell or otherwise share personal information unless required by law.


By signing below, I acknowledge that I have read and understand the waiver as written above.


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