New Student Intake Form and Liability Waiver

All new students (including both individuals in a couple) must complete the following form before participating in their first group class or private lesson

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Release of Liability and Personal Injury Waiver

Areté Dance Center offers Ballroom and other forms of dance training. As is inherent in any physical activity, the possibility for injury exists.

Dancing in the above styles includes but isn't limited to dips, lifts, and also "tricks", which are movements which have extreme physical ranges of motion and can be stressful for the body to execute. Dancing itself in the above styles (Ballroom, Ballet, Bollywood, Jazz) and other dancing can be dangerous and can cause injury, or in extremely rare cases even death, especially if done without proper instruction or supervision.

You in signing this agreement state that you have read it in its entirety and agree also to hold Areté Dance Center free of any liability for any injury or more severe bodily occurrence to your person or personal effects or any other person (including minors) you may bring into the facility or onto a lesson at Areté Dance Center.

It is understood that you undertake to learn dancing completely at your own risk and will not place responsibility for your health on anyone other than yourself, and if the guardian or accompanying a minor state that you (a) have legal guardianship over said minor and (b) will not hold Areté Dance Center liable for any injury or more severe bodily occurrence to that minor. At the same time, it is expected that you will communicate freely to your instructor about any dance move or exercise you feel may cause you injury or pain so that any injury or liability to yourself may be avoided.

Please sign below indicating that you have read and understood the above and release Areté Dance Center from any and all liability associated with your undertaking to learn dance.

COVID-19 Addendum

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors, we are conducting a simple screening questionnaire. Your participation is important and required to help us take precautionary measures to protect you and everyone in this building. Thank you for your time, consideration, and truthful responses.

You agree to reschedule if you cared for someone diagnosed with COVID-19 within the 14 days of the appointment.
You agree to reschedule if you experienced any cold or flu-like symptoms within 14 days of the appointment.
You agree to wear a mask at the time of your appointment.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by my mere presence within this establishment 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 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families. I hereby release the booked business from any and all claims arising from or in connection with any direct COVID-19 impact while visiting.

Student, Parent, or Legal Guardian Signature (must be 18 years of age or older):

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© 2020 by Areté Dance Center. Proudly created by Sophie Design Studio.

Contact Information:

979 Fremont Avenue

Los Altos, CA 94024

(408) 824-0074
info@aretedancecenter.com

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