Informed Consent Agreement and Liability Waiver
I declare that I intend to use some or all of the activities, facilities, programs, and services offered by the Victoria Ballroom Dance Society. I know that dancing is a potentially hazardous and strenuous activity and includes but is not limited to a risk of injury due to falling as a result of uneven dance floor surfaces, dance partner errors, and contact with other participants, and exposure to viruses and other diseases, including the virus that causes COVID-19, and that I should not dance unless I am medically able. I understand that it is my sole responsibility and not the responsibility of any instructor, member, or affiliate of the Victoria Ballroom Dance Society to assess my physical, mental, or emotional fitness to participate in any activity whatsoever. I assume any and all risks associated with dancing including but not limited to adverse physical effects, falls, contact with other participants, the effects of temperature including high heat and/or humidity, and exposure to COVID-19 or other diseases. I assume full responsibility during and after my participation to use or apply, at my own risk, any portion of the information or instruction I receive.
I hereby waive, release, and discharge the Victoria Ballroom Dance Society, its governing board, officers, directors, representatives, volunteers, and all others, from any and all responsibility or liability from injuries or damages including those caused by negligent acts or omission, or connected with participation in any of the Victoria Ballroom Dance Society activities, programs, and services.
I declare that I am not currently a member of a professional Ballroom Dance Organization.
I declare that I have read and that I understand and agree to the contents of this Informed Consent Agreement and Liability Waiver in its entirety.
2021 July 14
