Youth Registration

Name

Age

Parent/Guardian's Name

Phone Number

How did you hear about us?

Which Class Are You Interested In

Covid-19 Policy -- Please Check if you Agree

Chavalos is committed to stopping the spread of COVID-19, and as an organization agrees to stringently uphold public health standards and protocols to prevent COVID-19 transmissions/infections from occurring in any of our activities and current programs. In order to ensure that each staff member and participant are protected , Chavalos requires that personnel and participants wear face coverings when performing duties for Chavalos, except those participants for whom face coverings are not recommended, like young children under 2 years of age. Chavalos requires all staff, partners, visitors, donors, and volunteers to remain six feet apart, or six feet of distance, whenever possible, and abstain from physical contact, including shaking hands.

Liability Waiver -- Please Check if you Agree

I/we I agree to release and hold harmless Chavalos Danzas for Nicaragua and I/we will not hold Chavalos Danzas for Nicaragua liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes including classes, rehearsals, performances, or other activities. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Chavalos Danzas for Nicaragua. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Executive Director, Artistic Director, instructor or staff member as soon as possible. If I am a minor, my parent and / or legal guardian has also signed this document releasing Chavalos Danzas for Nicaragua from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity. My child has my permission to participate in Chavalos Danzas for Nicaragua events. I further release Chavalos Danzas for Nicaragua of all liabilities associated with my child’s attendance at Chavalos Danza for Nicaragua events. I also give Chavalos Danzas for Nicaragua permission to use pictures or videos of my child/myself in or on any form of advertisement for Chavalos Danzas for Nicaragua or for a Chavalos Danzas for Nicaragua affiliated event. If I am signing this in my capacity as the legal guardian of a minor child, I authorize Chavalos Danzas for Nicaragua to use photos or videos of my child for promotional purposes. I accept full responsibility for providing adequate health and accident insurance coverage for the protection of all of the following who participate in these programs/activities: my child/myself/the minor child for whom I am a legal guardian. By signing this statement, I declare that the aforesaid participant is in good health, with no physical conditions that might prevent his/her/my participation in strenuous and rigorous dance activities and other training and performance connected with musical theater. Further I understand and acknowledge that because of the physical nature of DANCE, there may be physical contact between directors, employees, staff, company members, instructors and students during rehearsals, shows, workshops, productions, and especially during dance instruction. I understand that at times for proper instruction and safety, physical contact is required and necessary. I have carefully read this Agreement, Waiver, Release, & Assumption of Risk and fully understand its contents. I understand that this is an assumption of risk and release of liability, and I sign it of my own free will. I warrant the below information is complete and correct.