These conditions will affect your legal rights including the right to sue or claim for compensation should you contract COVID-19. This waiver form must be signed and submitted from any persons entering Chelsea’s Dance Pac before camp begins or entry will not be permitted. Persons who have travelled outside of Canada within the previous 14 days or who are sick or who have been in contact with someone who is suspected of having COVID -19 must not enter Chelsea’s Dance Pac. This access may be withdrawn at any time based on health agency recommendations.

Parents or court-appointed legal guardians must be 18 years of age or older and must authorize on behalf of any participating minors and agree that they and the minors are subject to all the terms of this waiver as set forth herein.

The student applicant on the application/waiver and his/her parents/guardians agree that Chelsea’s Dance Pac, shall not be held responsible for any injury, loss or damage whatsoever occurring to the participant while he/she is in attendance at Chelsea’s Dance Pac programs.

 

I/We consent to his/her or my attendance on the terms of this waiver of liability or in the case of a guardian of a person under 18 years of age grant our consent to the terms of this waiver. I/We acknowledge reading this Application/Waiver and Declaration and understand the conditions contained herein and agree to abide by all terms. All Participants understand and consent to their duty to wear the appropriate protective gear as it applies to their sport or profession.

I would like to attend Chelsea’s Dance Pac. I am aware that Chelsea’s Dance Pac and its staff cannot guarantee that I will not contract COVID-19 at Chelsea’s Dance Pac. I am accessing Chelsea’s Dance Pac at my own risk. In particular, I accept the risk of contracting COVID-19 should I attend Chelsea’s Dance Pac.

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By signing and submitting this waiver, I am confirming the following self-assessment measures have been met:

• I confirm that I have not travelled outside of Canada for the past 14 days.

• I have not been in close contact with anyone who is suspected of having COVID-19 in the past 14 days.

• I have not been in close contact with anyone who has traveled within the last 14 days to any country outside of Canada.

• I have not experienced any cold or flu-like symptoms in the last 14 days (including fever, cough, sore throat, respiratory illness, difficulty breathing) and not related to other known causes, ie: allergies, or medical conditions. 

 

By signing and submitting this waiver, I understand and consent to the conditions of this waiver and I consent to the use of my first name and last name that I have entered below as an adult and/or guardian to be used as an electronic signature in lieu of an original signature on paper. I understand that I have the right to request that I sign a paper copy instead. By checking here, I am waiving that right. After consent, I understand that I may, upon written request to Chelsea’s Dance Pac, may obtain a paper copy of an electronic record. I understand that my agreement to use an electronic signature with Chelsea’s Dance Pac for any documents will continue until such time as I notify Chelsea’s Dance Pac in writing that I no longer wish to use an electronic signature. I understand that I should always make sure that Chelsea’s Dance Pac has my current email address in order to contact me regarding any changes if necessary.