Align Ballet Informed Consent Liability Waiver Parent-Child


Waiver of Liability and Informed Consent

The following student of Align Ballet Method Inc and Olga Tozyiakova (“School”) desires to participate in the following activity: Name:

   (the “Participant”)

Name of Activity/Event: Ballet Training, fitness conditioning, and other physical activity sessions

The parents/guardians, named below, hereby give permission for above-name’s participation in the above referenced, voluntary, activity or event.

In CONSIDERATION of above-named student(“Our child”) being allowed to participate in the ballet training, fitness conditioning, and other physical activity sessions and/or classes of the Align Ballet Method Inc., a California corporation (“ALIGN”) (hereinafter collectively, the “Activity”), we, the Participant and the parent(s) and/or legal guardian(s) of the Participant, jointly and severally, and intending to legally bind ourselves, our child, and all of our respective guardians, heirs, executors, personal and legal representatives, estates, beneficiaries, administrators, successors and assigns (all of the foregoing, collectively the “Releasors”), do hereby WAIVE, RELEASE AND DISCHARGE, AND COVENANT NOT TO SUE, Align Ballet Method Inc or Olga Tozyiakova, and its officers, directors, trustees, shareholders, owners, managers, partners, employees, staff, volunteers, chaperones, and supervisors and their successors and assigns (collectively the “Releasees”) from any and all liability and/or claims, suits, damages, injury, disability, death, costs and expenses, whether arising before, during or after participation in the activity, and whether caused by the sole or joint negligence, gross negligence, or tortious act or omission of the Releasees or any third party (collectively the “Claims”).

We hereby consent to the above name’s participation in the activity and acknowledge that we fully understand that our child’s participation may involve risk of serious emotional and/or physical injury, including without limitation losses which may result not only from the above name’s actions, inactions or negligence, but also from the actions, inactions, and / or negligence of others who participate in the Activity, the condition of the facilities, equipment, areas where the Activity is being conducted, locker rooms, dance studios, showers, parking areas, and / or sidewalks near said locations.  We understand that if we have any risk concerns, we should discuss the risks associated with the above name’s participation with the instructors, before we sign this document and before the Activity begins. 

We understand that the purpose of the activity is to develop and maintain cardiorespiratory fitness, body composition, flexibility, muscular strength, and endurance and that participation in the Activity involves various degrees and intensities of physical exercise which may potentially be rigorous. The programs may include stretching, rhythmic aerobic exercise, choreographed dance fitness classes, pointe work, calisthenics, plyometrics, and / or strength training.  We certify that the above named is in good health and has no physical condition that would prevent participation in the Activity. Furthermore, we agree to use our personal medical insurance as a primary medical coverage payment if accident or injury occurs.  we consent to emergency medical treatment in the event such care is required.  Knowing and understanding the risks involved with participation in the Activity, we hereby voluntarily and willingly assume responsibility for all risks and dangers associated with the above name’s participation in the Activity.  We agree that we are financially responsible for any losses resulting from the above name’s actions and will indemnify the ALIGN and its officers, directors, employees and agents, for any loss or damage caused by the above name during this Activity.

We have read this agreement and understood the terms used in it and their legal significance.  This waiver and release are freely and voluntarily given with the understanding that right to legal recourse against the Align Ballet Method INC or Olga Tozyiakova, and its officers, directors, independent studio owners, employees, instructors, and agents is knowingly given up in return for allowing the above name’s participation in the Activity.  My signature on this document is intended to bind not only myself but also the above named (our child), successors, heirs, representatives, administrators, and assigns. We have read, understood, acknowledge, accept and agree to the entirety of this agreement. By signing and clicking “I Agree”, We agree that we have read, understood, acknowledge accept and agree to the entirety of this agreement.

Participant’s Parent’s or Guardian’s  Signature

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Signature Certificate
Document name: Align Ballet Informed Consent Liability Waiver Parent-Child
lock iconUnique Document ID: 7f7970012b2126d202cf5cadeaf894d3d0e1403e
Timestamp Audit
June 24, 2021 12:41 pm PDTAlign Ballet Informed Consent Liability Waiver Parent-Child Uploaded by Michael Cornell - IP