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COVID-19 RELEASE WAIVER

Assumption of Risk, Release and Waiver of Claims

I am a dancer and participant at Powerhouse Dance Alliance, LLC. I understand that the nation is in the midst of the COVID-19 pandemic, which presents certain unusual health risks that are highly publicized, including fatal illness. I am voluntarily choosing to participate in dance instruction and/or competitive activities organized by Powerhouse Dance Alliance, LLC. In consideration for my participation therein, I, on behalf of myself, my personal representatives, heirs, and assigns, hereby:

1. Acknowledge, understand, and agree that there are certain inherent risks and dangers associated with my participation at Powerhouse Dance Alliance, including but not limited to the risk of contracting COVID-19, I knowingly and voluntarily accept and assume full responsibility for each of these risks and dangers, as well as all other risks and dangers that could arise out of or occur during my participation in or association with Powerhouse Dance Alliance.

2. Acknowledge, understand, and agree that at all times when I am participating at Powerhouse Dance Alliance I will use my best efforts to comply with any and all instructions provided by Powerhouse Dance Alliance with respect to maintaining my health and safety, including following CDC Guidelines (e.g., washing hands often, use of hand sanitizer, proper social distancing where possible, wearing appropriate personal protective equipment, covering mouth when coughing or sneezing, and staying home if not feeling well).

3. Acknowledge that, in the event a dancer, including the undersigned dancer, must leave due to illness, including COVID-19, that the remaining dancers, including the undersigned dancer may continue to participate at Powerhouse Dance Alliance at their own risk. I further acknowledge that Powerhouse Dance Alliance cannot, and will not, cease its business each time a dancer appears to be ill.

4. Acknowledge that Powerhouse Dance Alliance is not a healthcare provider and is unable to diagnose or treat illnesses. Consequently, Powerhouse Dance Alliance will not diagnose or treat illnesses of participants.

5. WAIVE, AND FOREVER DISCHARGE Powerhouse Dance Alliance (and its respective owners, members, agents, employees, servants, officers, directors, successors, assigns and affiliates) (“Releasees”) from any and all claims, demands, actions, or causes of action I, or anyone on my behalf, may hereafter have against Releasees for loss or damage of any kind (including personal injury, illness, disability, and/or death) which occurs because I contracted COVID-19 while participating with or around Powerhouse Dance Alliance, or any of the events and activities associated therewith, whether caused by Releasees’ own negligence or otherwise.

I expressly agree that this Assumption of Risk, Release and Waiver of Claims is intended to be as broad and inclusive as is permitted by the law of the State of Pennsylvania or any other state’s laws under which this Agreement may be construed and that if any portion of this Agreement is held to be invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Submission of payment to Powerhouse Dance Alliance, LLC indicates acceptance of the above terms of the waiver release.

I HAVE READ, UNDERSTAND, AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF CLAIMS
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