Free dance studio waiver generator

Issued by Bluebell Dance Academy Ltd, trading as Bluebell Dance Academy (“the Studio”, “we”, “us”), 12 Example Street, Leeds LS1 4AB, United Kingdom.

Please read this form carefully before the participant takes part. It explains what our activities involve, the risks that come with any physical activity, what we do to keep everyone safe and what we ask of participants and their parents or guardians.

1.Participant details

2.Parent or guardian details

If the participant is under 18, a parent or guardian with parental responsibility must complete and sign this form.

3.Activities covered

This form covers taking part in ballet, contemporary dance, jazz and tap with Bluebell Dance Academy.

It applies to regular classes, workshops and performances.

Location: Main studio, 12 Example Street, Leeds.

All classes and activities are led and supervised by our instructors.

4.Physical activity and inherent risks

Dance is a physical activity. Even with good teaching, suitable facilities and care from everyone involved, taking part carries some risk of injury. These risks include:

• muscle strains, sprains and joint injuries
• injuries from overuse or repeated movements
• slips, trips and falls, including during jumps, turns and travelling steps
• contact with other dancers, props or equipment
• tiredness, dizziness or dehydration during demanding sessions
• the extra demands of rehearsals, performances and competitions, such as longer sessions, quick changes and unfamiliar stages

Many of these risks can be reduced by following instructions, warming up properly, working within your own ability and telling us about anything that may affect safe participation.

5.What we ask of participants

To help keep everyone safe, participants should:

• follow the instructions and safety guidance of our instructors and staff
• warm up and cool down as instructed, and work within their own ability
• wear suitable clothing and footwear, and remove jewellery that could cause injury
• tell the instructor before class about any injury, illness or condition that may affect their participation
• stop and tell a member of staff straight away if they feel unwell or are hurt
• treat other participants, staff and the premises with respect
• arrive and be collected on time, with parents or guardians telling us about any change to collection arrangements

6.What we do to keep participants safe

We take reasonable care to provide a safe environment for our activities. This includes:

• planning classes to suit the age, experience and ability of participants
• giving clear guidance on technique and safe practice
• checking the studio space, floors and equipment regularly
• having first aid available and recording any accidents or injuries
• safeguarding procedures for children and young people, including Disclosure and Barring Service (DBS) checks for staff and volunteers who work with them, as the law requires

If you have any concerns about safety, please speak to an instructor or contact us at hello@bluebelldance.example.

7.Emergency arrangements

If a participant is injured or becomes unwell, a member of staff will give first aid where appropriate and, if needed, call the emergency services (999).

We will then contact the participant’s parent or guardian as soon as possible.

Please give at least one emergency contact and keep these details up to date.

8.Medical and additional support information

This section is optional. Please only tell us about anything that could affect safe participation, or that our staff need to know in an emergency.

We will keep this information confidential and secure, share it only with the instructors and staff who need it to keep the participant safe (and with the emergency services if needed), and delete it when it is no longer needed. Health information is special category data under UK data protection law (the UK GDPR and the Data Protection Act 2018), so we only use it with your explicit consent, which you can withdraw at any time by contacting us.

• I consent to Bluebell Dance Academy using the health information in this section for the purposes described above.

9.Emergency medical assistance

If a participant needs urgent medical care, our staff will call the emergency services and then contact the people named on this form as quickly as possible.

• If the people named on this form cannot be reached, I agree that a member of staff may go with the participant to hospital and share relevant information from this form with the healthcare professionals treating them.

Decisions about medical treatment are made by healthcare professionals. This does not allow our staff to consent to medical treatment on anyone’s behalf.

10.Parent or guardian declaration

I confirm that I am the parent or legal guardian of the participant named on this form, or that I have parental responsibility for them, and that I am completing this form on their behalf.

I will explain the safety rules to the participant in a way that suits their age and understanding, and I will tell the Studio about any change in their health or circumstances that may affect their participation.

This declaration does not remove or limit any legal rights the participant has.

11.Acknowledgement

Please tick each statement that applies:

• I have read and understood the information in this form about the activities and their inherent risks.
• The participant will follow the guidance of instructors and the Studio’s safety rules.
• I have given up-to-date emergency contact details.
• I have had the opportunity to ask questions and raise any concerns about taking part.
• I have been told about the Studio’s emergency and first aid procedures.

By signing below, you confirm that you have read and understood this form and that the information you have given is accurate.

12.Your legal rights

This form is not a waiver of legal rights. It explains the activities and their risks so that you can make an informed decision, and asks you to confirm some information.

Nothing in this form excludes or limits our liability for death or personal injury caused by our negligence, or any other liability that cannot be excluded or limited by law. It does not affect your statutory rights, including your rights under the Consumer Rights Act 2015.

Where the participant is a child, nothing in this form, including the parent or guardian declaration, removes or limits any legal rights the child has.

13.How we use your information

Bluebell Dance Academy is responsible for the personal information on this form and handles it in line with UK data protection law (the UK GDPR and the Data Protection Act 2018). We use it to organise our classes and activities, keep participants safe and contact you about them.

We rely on our agreement with you, our legitimate interest in running safe and well-organised activities and, where we ask for it, your consent. We do not sell your information. We share it only with those who help us run our activities, such as our booking and payment providers, or where the law requires it.

We keep this information only for as long as we need it for these purposes, unless the law requires us to keep it longer, and then delete it securely.

You have the right to access, correct or delete your information, to object to or restrict how we use it, and to withdraw any consent you have given. To do so, contact us at hello@bluebelldance.example. You can also complain to the Information Commissioner’s Office (ico.org.uk).

14.Signatures