This waiver is part of the registration process (see the Registration Information). Each person will be required to sign one at check-in (you do not need to mail it in advance).
- Parent/Guardian Release & Waiver
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Minor Participant Name: ___________________________ Date of Birth: ______________
I, the undersigned, am the parent or legal guardian of the minor child named above. In consideration of my child being permitted to participate in a Hop to the Beat event, I agree to the following:
- Assumption of Risk: I understand that participation in dance workshops, social dancing, and event activities involves inherent risks of physical injury, including but not limited to trips, falls, and physical contact with other participants. I further acknowledge the contagious nature of certain illnesses (including, but not limited to, COVID-19 and other communicable diseases) and voluntarily assume the risk that my child may be exposed to or infected by such illnesses by attending a Hop to the Beat event, and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I voluntarily assume all risks associated with my child’s participation.
- Release of Liability and Indemnification: I hereby release, hold harmless, and indemnify Hop to the Beat, Stonehill College, their directors, employees, agents, volunteers, successors, and assigns (the “Released Parties”) from any and all claims, causes of action, suits or liability, costs and expenses (including, without limitation, reasonable attorneys’ fees) including those resulting from the negligence of the Released Parties, arising out of, or in connection with, any loss, personal injury, death, or other damage that my child may incur or suffer by reason or as a result of their enrollment or participation in a Hop to the Beat event. I further agree to indemnify and hold the Released Parties harmless from any and all claims, costs, and expenses (including reasonable attorneys’ fees) brought by, or on behalf of, the minor child named above.
- Medical Authorization: In the event of a medical emergency, I hereby grant permission to Hop to the Beat, Stonehill College, and their authorized representatives to secure professional medical, dental, or surgical treatment for my child. I acknowledge that I am responsible for all medical expenses incurred. I understand that Hop to the Beat’s Accident Insurance acts only as excess coverage to my personal health insurance.
- Media Release: I understand that Hop to the Beat may record my child’s participation on video or by photograph. I grant Hop to the Beat unlimited use of any such recordings with no obligation or compensation to me or my child. Such recordings are the sole property of Hop to the Beat.
- Conduct and Supervision: I have reviewed the Code of Conduct with my child. We both agree to abide by these rules. I understand that my child may be dismissed from a Hop to the Beat event without a refund for behavior that violates these standards.
- Governing Law: This agreement shall be governed by the laws of the Commonwealth of Massachusetts. If any portion of this agreement is held to be invalid or unenforceable, the remaining terms shall continue in full legal force and effect.
Parent/Guardian Printed Name: ________________________________________________
Relationship to Minor (e.g., Mother, Father, Legal Guardian): _______________________
Parent/Guardian Signature: _______________________________ Date: _______________
Primary Emergency Contact Phone Number: (____) ____ - ________
Secondary Emergency Contact Phone Number: (____) ____ - ________
