Illness Liability Waiver Student's Name Parent's Name ILLNESS WAIVER 24/25: In consideration of being allowed to participate in any Dance Cavise Inc. related program, including but not limited to class/activities at 273 Halstead Avenue, Mamaroneck NY, class/activities at any other location, and/ or taking class online, I agree to the following: 1. I/my child will not attend dance classes if at any time I/my child answers yes to any of the following: - Have you had a fever over 100 degrees in the last 24 hours before arriving to the studio? - Do you currently have, or recently had, any respiratory or flu-like symptoms, sore throat, chills or shortness of breath? - Do you have any contagious virus/illness? - Have you been in contact with anyone within the last 7 days who has been diagnosed with COVID-19? 2. I agree that in the event that I/my child or family member tests positive for COVID-19 or has been exposed to someone with COVID-19, I/my child will refrain from taking dance classes for a minimum of 5 days, or until negative results are confirmed. I understand that my name will be kept confidential. 3. I further acknowledge that Dance Cavise Inc. can not guarantee that I will not become infected with COVID-19, or any virus. I also understand that the risk of becoming exposed to and/or infected by any contagious virus may result from the actions, omissions, or negligence of myself. 4. I voluntarily seek services provided by Dance Cavise Inc., its employees and staff, and acknowledge that I am increasing my risk to exposure to any illness or virus, and acknowledge that I must comply with all set procedures set by Dance Cavise Inc, in accordance with NYS Health Authorities to reduce the spread. 5. I hereby release and agree to hold Dance Cavise Inc. harmless from, and waive on behalf of myself, and any personal representatives any and all causes of action, claims, demands, damages, cost, expenses, and compensation for damage to myself that may be caused by any act, or failure to act, of the dance studio, or that may otherwise arise in any way in connection with services received from Dance Cavise Inc. 6. I understand that signing this release discharges Dance Cavise Inc., any employee or staff, from any liability or claim against the studio with respect to any bodily injury, illness, death, medical treatment that arise from, or have connection too, any services received from Dance Cavise Inc. 7. I understand that this liability waiver and release extends to Dance Cavise Inc, together with all owners, employees and staff members. E-Signature