liability Waiver + intake form

Completion of this waiver and form is required to participate in any class, party, or private before your first time visiting the studio. It only has to be filled out once, and will be kept on file on your account for internal use only. Thank you for filling it out!

I hereby indemnify, release and hold harmless Studio Rouge Aerial Arts LLC, its agents, representatives, employees and assigns (hereinafter "Studio Rouge") from and against any and all claims, damages, losses and expenses that I, my heirs or legal representatives have or may have arising out of any accident, illness, death or any other type of incident through which I or my heirs may be injured or damaged arising from or in any way related to my participation in the parties, events, classes, both in-person and online, of Studio Rouge, including the use or practice of Studio Rouge's material outside of the Studio Rouge's facilities (the "Events").

 

I understand that Studio Rouge's Events are physically strenuous, and due to the nature of the Events, may be inherently as or more dangerous than any other type of exercise class, dance class or routine and may cause serious bodily injury, loss of property and even death. I represent that I have the health clearances required for my participation in the Events and that I will not participate of the Events after I have ingested any alcohol or other medications. I understand that I am responsible for my own health and health care at all times. I am responsible for all costs associated with my health, including but not limited to costs related to injuries, accidental or not, incurred while participating of the Events. If I am injured during an Event, I will not hold Studio Rouge responsible even if the injuries were caused by negligence on my part or on the part of Studio Rouge. I will pay for and reimburse Studio Rouge, its owners, employees, contractors, and associates, for any costs incurred by Studio Rouge arising in connection with this Agreement, including but not limited to, medical fees, damages, court costs and attorney’s fees. I will give Studio Rouge prompt written notice of any suit or claim that comes within the purview of these indemnities. In no event shall Studio Rouge, its owners, employees, contractors, and associates, be liable to me, my heirs or representatives for any consequential, incidental, indirect, or punitive damages regardless of whether such liability results from breach of contract, breach of warranties, tort, strict liability, or otherwise. I represent and warrant that I will resume my participation in the Events if I feel unsafe or uncomfortable for any reason, and will immediately communicate the end of my participation to Studio Rouge's representatives and/or instructors.

 

I understand that being in close proximity of others increases my risk for contracting any contagious illness or sickness others in the studio may have. I also understand that it is my responsibility to abstain from the Events if I have COVID-19 symptoms, including but not limited to a worsening cough, a temperature of 100.4 F or greater, nausea, vomiting, or upset stomach, recent loss of taste or smell, or have been diagnosed with COVID-19 or any other contagious disease within the past 10 days. I will exercise extreme caution when signing up for the Events if I have been in contact with someone who is suspected to have, or has had a positive COVID-19 test result, or if I have been exposed to anyone with a contagious illness within the past 10 days. I further understand that thorough efforts have been made to make sure the studio is as clean and sanitary as possible and in accordance with Ohio Department of Health and CDC guidelines, and to ensure that the Events are as safe and enjoyable as possible. However, I and I alone am responsible for my own safety. I pledge to listen carefully to all instructions as well as pay attention to my own body’s physical limits.

 

I have been informed that Studio Rouge's Events are part of a unique copyrighted and trademarked method of instruction that belongs solely to Studio Rouge, and may only be used by me for my enjoyment and not for any profit or other gain. The Studio Rouge Events may only be instructed by fully trained and certified Studio Rouge instructors. I agree not to represent to anyone that I am qualified to teach Studio Rouge material without first gaining the signed, written consent of Studio Rouge.

 

I understand that I must comply with all Studio Rouge's policies and procedures, including but not limited to Studio Rouge's Terms and Conditions and Code of Conduct. I understand that by signing this waiver, I assume any risk, take full responsibility, and waive any and all claims of personal injury or illness, loss of property and/or death relating to all activities associated with Studio Rouge. By agreeing to this waiver, I released Studio Rouge from all liability in regards to exposure to COVID-19 and/or any contagious disease, and I understand that I may be required to sign updated waivers in the future as deemed necessary by Studio Rouge. I understand that this and future policies and protocols are subject to change. 

I HAVE READ AND FULLY AGREE TO THE TERMS OF THIS WAIVER AND RELEASE. I AM 18 YEARS OF AGE OR OLDER AND MENTALLY COMPETENT TO ENTER INTO THIS WAIVER AND RELEASE.

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Everything on this form is true to my knowledge, and I have read and agree to the studio's terms & conditions.

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