Online Class Waiver 2024 – 2025

Miss Tanya’s School of Dance Inc. 

345 Summer Street

Fitchburg Ma. 01420



Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

I AS A PARTICIPANT OR PARENT/GUARDIAN OF SAID CHILD(REN) HEREBY ASSUME ALL OF THE RISKS OF MYSELF/MY CHILD(REN) PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THESE VIRTUAL DANCE/ACRO/TECHNIQUE/COMPANY CLASSES, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective reigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of myself, my child(ren), for my/my child(ren)’s death, disability, personal injury, or actions of any kind which may hereafter occur to myself/my child(ren) during DANCE/ ACRO/TECHNIQUE/COMPANY CLASSES BY THE FOLLOWING ENTITIES OR PERSONS: Miss Tanya’s School of Dance Inc. and/or their directors, employees, or volunteers. (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE THE FOLLOWING ENTITIES OR PERSONS: Miss Tanya’s School of Dance Inc. and/or their directors, employees, or volunteers from any and all liabilities or claims made as a result of participation in DANCE/ACRO/TECHNIQUE/COMPANY CLASSES, whether caused by the negligence of release or otherwise. I acknowledge that Miss Tanya’s School of Dance Inc. and their directors, employees, and volunteers are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting DANCE/ACRO/TECHNIQUE/COMPANY CLASSES on their behalf. I acknowledge that this activity may involve injury. The risks include, but are not limited to, those caused by jumping, leaping, turning, stretching, or any DANCE /ACRO movement, lack of hydration, improper DANCE/ACRO floor, and actions of other people including, but not limited to, participants, and/or producers of the activity.

I hereby consent for myself / my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during DANCE/ ACRO/TECHNIQUE/COMPANY CLASSES. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT. I SIGN IT OF MY OWN FREE WILL. I certify that I/my child(ren) are/is physically fit, has sufficiently prepared or trained for participation in DANCE/ ACRO/TECHNIQUE/COMPANY CLASSES, and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child(ren)’s participation in dance Classes. I acknowledge that this Accident Waiver and Release of Liability Form will be used by Miss Tanya’s School of Dance Inc., the director, class holders, sponsors, and organizers of the activity in which my child may participate, and that it will govern my child(ren)’s actions and responsibilities at DANCE/ ACRO/TECHNIQUE/COMPANY CLASSES . I permit my child to participate in dance CLASSES.


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    Contact Us

    Miss Tanya's School of Dance
    345 Summer Street Fitchburg Mass. 01420.
    Phone: 978-343-7700