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Ballroom Dance of NJ

Home
About
Our Mission
About Us
Dance Options
Benefits of Dance
Policies
LOCATION
Contact Us
Contact Us
Dance Programs
Adult
Children / Junior
Family
Wedding
Get Started
Get started today
Registration Form
Intro Offers
Location
Contact Us
News
News
Media
Buy
2025 Summer Kids Groups
Gift Cards
Intro Offers
Adult Programs
Children Programs
Family Programs
Wedding Programs
Shopping Cart

Ballroom Dance of NJ

COVID-19 LIABILITY RELEASE WAIVER

  • COVID-19
  • COVID-19 - We are OPEN!
  • COVID-19 Liability Release Waiver
  • COVID-19 Daily Agreement
Ballroom Dance of New Jersey - COVID-19 Liability Release Waiver The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Ballroom Dance of NJ (the "Organization") adheres to. In consideration of my participation in the foregoing, the undersigned acknowledges and agrees to the following: I am aware of the existence of the physical risk to myself based on my appearance at the venue and my participation in the activity that the organization provides; this activity may cause injury or illness such as, but not limited to influenza, MRSA, or COVID-19 that may lead to paralysis or death. I have not experienced any symptoms that are fever, fatigue, difficulty in breathing, or dry cough, nor have I been exhibiting any other symptoms related to COVID-19 or any communicable disease within the last 14 days. I nor any member of my household, have not travelled by sea or by air internationally within the past 30 days. I nor any member of my household, did not visit any area within the United States that was reported to be highly affected by COVID-19, in the last 30 days. I nor any member of my household have not been diagnosed as infected with the COVID-19 virus within the last 30 days. Following the pronouncements above I hereby declare the following: I am fully and personally responsible for my own safety and actions while and during my participation, and I recognize that I may (be), in any case, be at risk for contracting COVID-19. With full knowledge of the risks involved, I hereby release, waive, discharge the Organization, it's board, officers, independent contractors, affiliates, employees, representatives, successors, and assignees from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from order related to COVID-19. By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation. If any of the above COVID-19 screening conditions changes, it is my responsibility to inform Ballroom Dance of New Jersey. This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.
Name *
The electronic signature below, and all of its related fields, replaces a handwritten signature on paper and is legally binding. I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief. This electronic signature below and its related fields are treated by the district like a handwritten signature on a paper form.
Date *
Thank you!
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Ballroom Dance of NJ, 214 Springfield Avenue, Summit NJ 07901, USA908-838-9939Info@BallroomDanceNJ.com

Happy Dancing - Happy People!