WAIVERS

The appropriate waivers must be submitted digitally BEFORE your FIRST check-in

NO EXCEPTIONS! You will not be allowed to check-in to class without one!

* Every studio participant must submit a COVID-19 Liability Waiver.

PLUS

* All necessary Waivers for classes/series that you are particpating in.

Waivers only need to be submitted once.

DEVIANT DANCE TRIBE LLC

COVID-19 LiABILITY RELEASE WAIVER

I acknowledge the contagious nature of the COVID-19 virus, and respect that the facility adheres to the CDC recommendations of practicing social distancing and wearing face coverings.

I further acknowledge that Deviant Dance Tribe LLC and the SALTspace Performing Arts Center have put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of their abilities.

I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff and other clients.


I acknowledge that I increase my risk of exposure to COVID-19 by participating in services rendered. I acknowledge that I must comply with all set procedures to reduce the spread while in attendance.

 

I acknowledge that exercising with a mask can be dangerous. I acknowledge that I do not have any health conditions that may prevent me from exercising with a mask on. I acknowledge that I must self-monitor my breathing and decrease intensity, or stop the activity if I feel lightheaded, dizzy, or short-of-breath.

I attest that:
- I am not experiencing any symptoms of illness such as cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell.
- I have not traveled internationally within the last 14 days.
- I have not traveled to a highly impacted area within the United States in the last 14 days.
- I do not believe I have been exposed to someone with a suspected and/or confirmed case of COVID-19.
- I have not been diagnosed with Coronavirus/Covid-19 by state or local public health authorities.
- I am following all CDC recommended guidelines as much as possible, including limiting any purposeful exposure to COVID-19.

I hereby release and agree to hold Deviant Dance Tribe LLC and the SALTspace Performing Arts Center harmless from any causes of action, claims, demands, damages, costs, expenses, and compensation for damage to myself that may be caused by any act, or failure to act, or that may otherwise arise in any way with any services received. I understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received. This liability waiver and release extends to all owners, partners, and employees.

Your Signature

DEVIANT DANCE TRIBE LLC

ADULT DANCE CLASS @ SALTSPACE

 

RELEASE AND WAIVER OF LIABILITY

In consideration of my being allowed to participate in Deviant Dance Tribe LLC Dance Fitness and Instructional classes at SALTspace, I agree to the following waiver and release:

 

1.) I, for myself, my heirs, executors, or anyone else who may claim on my behalf, hereby waive, release and forever discharge, Deviant Dance Tribe LLC from any and all responsibilities or liability from personal injury, death, damage to property, or loss of any kind resulting from participation in any programs or my use of equipment in the above-mentioned activities.

2.) I do also hereby release Deviant Dance Tribe LLC from any responsibility or liability for any injury or damage to myself, including those caused by negligence.

3.) I understand that strength, flexibility and aerobic exercise offered by Deviant Dance Tribe LLC is a potentially hazardous activity with certain risks and benefits, some of which include but are in no way limited to soft tissue injuries such as wounds, bruises, muscle strain, muscle soreness, sprains, acute strains, broken bones, back/neck injuries, knee/foot injuries, heart attacks, death, improved cardiovascular fitness and flexibility, increased strength and muscle tone.

4.) I also understand that while some of the risks and hazards involved in the participation of Deviant Dance Tribe LLC classes are foreseeable, others are not. I understand that fitness activities involve a risk of injury and even death, and I am voluntarily participating in these activities and using equipment with knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.

5.) I acknowledge that I have either had a physical examination and been given my physician’s permission to participate or that I have decided to participate in activities and use equipment without the approval of my physician and do hereby assume all responsibility for my participation and activities and utilization of equipment. 

6.) I understand that Lisa Price of Deviant Dance Tribe LLC is not medical personnel, may make no medical judgments, give no medical advice, and provide no medical care or therapy.

7.) I understand that all of the choreography, instructional techniques, as well as the class structure contained within these classes have been created expressly for Deviant Dance Tribe LLC dance fitness classes by Lisa Price, and fall under copyright/trademark laws as intellectual property, and may not be resold or bartered for material gain or material profit of any kind without express written permission and fair compensation to ‘Deviant Dance Tribe LLC’.

8.) I consent and agree that Deviant Dance Tribe LLC and SALTspace, its employees, or agents have the right to take photographs, videotape, or digital recordings of me and to use these in any and all media, now or hereafter known, and exclusively for the purpose of promoting Deviant Dance Tribe LLC services.

 

Your Signature

Deviant Dance tribe LLC

CHAIRLESQUE CLASS @ SALTSPACE

RELEASE AND WAIVER OF LIABILITY

In consideration of my being allowed to participate in any Deviant Dance Tribe LLC Chairlesque workshops at SALTspace and to use Deviant Dance Tribe LLC chairs, I agree to the following waiver and release:

 

1.) I, for myself, my heirs, executors or anyone else who may claim on my behalf, hereby waive, release and forever discharge, Deviant Dance Tribe LLC from any and all responsibilities or liability from personal injury, death, damage to property or loss of any kind resulting from participation in any programs or my use of equipment in the above-mentioned activities.

2.) I do also hereby release Deviant Dance Tribe LLC from any responsibility or liability for any injury or damage to myself, including those caused by negligence.

3.) I understand that strength, flexibility and aerobic exercise, including the use of chairs offered by Deviant Dance Tribe LLC is a potentially hazardous activity with certain risks and benefits, some of which include but are in no way limited to: soft tissue injuries such as wounds, bruises, muscle strain, muscle soreness, sprains, acute strains, broken bones, back/neck injuries, knee/foot injuries, heart attacks, death, improved cardiovascular fitness and flexibility, increased strength and muscle tone.

4.) I also understand that while some of the risks and hazards involved in using the chairs of Deviant Dance Tribe LLC are foreseeable, others are not. I understand that fitness activities involve a risk of injury and even death, and I am voluntarily participating in these activities and using equipment with knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.

5.) I acknowledge that I have either had a physical examination and been given my physician’s permission to participate, or that I have decided to participate in activities and use equipment without the approval of my physician and do hereby assume all responsibility for my participation and activities and utilization of equipment. 

6.) I understand that Lisa Price of Deviant Dance Tribe LLC is not a medical personnel, may make no medical judgments, give no medical advice and provide no medical care or therapy.

7.) I understand that all of the choreography, instructional techniques, as well as the class structure contained within these classes have been created expressly for Deviant Dance Tribe LLC Chairlesque classes by Lisa Price, and fall under copyright/trademark laws as intellectual property, and may not be resold or bartered for material gain or material profit of any kind without express written permission and fair compensation to ‘Deviant Dance Tribe LLC’.

8.) I consent and agree that Deviant Dance Tribe LLC and SALTspace, its employees, or agents have the right to take photographs, videotape, or digital recordings of me and to use these in any and all media, now or hereafter known, and exclusively for the purpose of promoting Deviant Dance Tribe LLC services.

Your Signature

Deviant Dance tribe LLC

daredevil POLE & AERIAL @ SALTSPACE

RELEASE AND WAIVER OF LIABILITY

In consideration of my being allowed to participate in any Daredevil Pole or Aerial classes at SALTspace and to use the provided equipment, I agree to the following waiver and release:

 

1.) I, for myself, my heirs, executors or anyone else who may claim on my behalf, hereby waive, release and forever discharge, Niki Patino of Daredevil Pole & Aerial and Deviant Dance Tribe LLC from any and all responsibilities or liability from personal injury, death, damage to property or loss of any kind resulting from participation in any programs or my use of equipment in the above-mentioned activities.

2.) I do also hereby release Niki Patino of Daredevil Pole & Aerial and Deviant Dance Tribe LLC from any responsibility or liability for any injury or damage to myself, including those caused by negligence.

3.) I understand that strength, flexibility and aerobic exercise, including the use of poles, hammocks and hoops offered by Daredevil Pole & Aerial is a potentially hazardous activity with certain risks and benefits, some of which include but are in no way limited to: soft tissue injuries such as wounds, bruises, muscle strain, muscle soreness, sprains, acute strains, broken bones, back/neck injuries, knee/foot injuries, heart attacks, and death

4.) I also understand that while some of the risks and hazards involved in using the equipment provided by Daredevil Pole & Aerial are foreseeable, others are not. I understand that fitness activities involve a risk of injury and even death, and I am voluntarily participating in these activities and using equipment with knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.

5.) I acknowledge that I have either had a physical examination and been given my physician’s permission to participate, or that I have decided to participate in activities and use equipment without the approval of my physician and do hereby assume all responsibility for my participation and activities and utilization of equipment. 

6.) I understand that Niki Patino of Daredevil Pole & Aerial is not a medical personnel, may make no medical judgments, give no medical advice and provide no medical care or therapy.

7.) I understand that all of the choreography, instructional techniques, as well as the class structure contained within these classes have been created expressly for Daredevil Pole & Aerial classes by Niki Patino, and fall under copyright/trademark laws as intellectual property, and may not be resold or bartered for material gain or material profit of any kind without express written permission and fair compensation to Niki Patino

8.) I consent and agree that Daredevil Pole & Aerial, Deviant Dance Tribe LLC and SALTspace, its employees, or agents have the right to take photographs, videotape, or digital recordings of me and to use these in any and all media, now or hereafter known, and exclusively for the purpose of promoting Deviant Dance Tribe LLC services.

Your Signature

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