November 2021 Junior High & High School Team Match Waiver and Release Form

All parents/guardians, teachers, administrators, and staff/volunteers must complete this form to attend the November 2021 team match/competition event.
(Parents/guardians must sign this form for their student to participate)

I am a*

My team is a/an:*

Junior High Teams*

Select your team:

High School Teams*

Select your team:

Student Name*

First Last

Parent Name*

First Last

Student Email

Parent Email*

Student Phone

(Required for potential COVID-19 contact tracing)

Parent Phone*

(Required for potential COVID-19 contact tracing)

Name*

First Last

Email*

Phone*

(Required for potential COVID-19 contact tracing)

Team Match and Competition Guidelines

By checking the boxes below, parent and dancer agree to the following Team Match Guidelines:*

We understand the student will be selected to dance based on maximum classroom participation.
We understand class fees must be paid in order for the student to participate in the Team Match and/or Competition.
We understand the student must wear the approved dance clothes and shoes explained by their school ballroom coach.
We understand the student must be willing to perform whichever dance the teacher assigns the student to dance.
We understand the ballroom coach will inform the student about required school transportation policies to the event.

COVID-19 Waiver

By checking the boxes below, I agree to the following COVID-19 Waiver:*

I understand that American Heritage School urges social distancing if not wearing a mask at the event. This guideline is subject to change according to public health requirements or changing circumstances at the time of the event.
I agree NOT to attend the dănzinsküle Team Match & Competition if I am experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell within 7 days of the event or on the day of the event.
I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and other spectators may be exposed to or infected by COVID-19 by attending this event and that such exposure or infection may result in personal injury, illness, permanent disability, and death.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or spectators (including, but not limited to, personal injury, disability or death) illness, damage, loss, claim, liability, expense, of any kind, that I may experience or incur in connection with attendance at the event (“Claims”).
On my behalf, I hereby release, covenant not to sue, discharge, or hold harmless American Heritage School or dănzinsküle Education Foundation, it’s employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs of 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 American Heritage School and dănzinsküle Education Foundation Team Match Event, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during or after participation in any dănzinsküle Education Foundation event.
I understand that this release discharges dănzinsküle Education Foundation or American Heritage from any liability or claim that I, my heirs, or any personal representatives may have against dănzinsküle Education Foundation or American Heritage by attending the a danzinskule Team Match Event & Competition
I agree that by attending any event organized by dănzinsküle Education Foundation, I do so at my own risk and choice.

Media Release

By checking the box below, I agree to the following Media Release:*

In the process of producing educational and promotional materials, we at dănzinsküle Education Foundation may require the use of video, live streaming, still image, and voice recordings of individuals involved in the production thereof. By signing this document, we grant dănzinsküle Education Foundation all rights to the dancer's likenesses, images, and recordings, including edited versions without payment of fees in perpetuity. We authorize the use of these media for any use deemed necessary for the proper function of dănzinsküle. The aforementioned media will be used solely for dănzinsküle productions and will not be shared with any other entity.

Electronic Signature

By signing my name below, I agree to all conditions of this waiver and release form.

Parent*

Date*

I confirm that:*

my student has read and agrees to follow the COVID waiver & Media Release Form for any Danzinskule Team Match event and competition.

Name*

Date*