Liability Waiver & COVID-19 Acknowledgement

I acknowledge the contagious nature of the SARS-CoV-2 virus (COVID-19) and acknowledge that Dirty Water Events, LLC adheres to the CDC recommendations as best as possible. Dirty Water Events, LLC will only allow dancers who present evidence of at least one of the following to participate: (a) a primary series COVID-19 vaccine and a bivalent COVID-19 booster; (b) a negative PCR test taken within forty eight (48) hours or a negative rapid antigen test taken within twenty four (24) hours.

I further acknowledge that Dirty Water Events, LLC has put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of their abilities.

I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others, including but not limited to, paid staff, volunteers and others.

I acknowledge that I may increase my risk of exposure to COVID-19 by participating in Dirty Water Events, LLC dance activities.

In the event a participant tests positive for COVID-19 within ten (10) days of a Dirty Water Events, LLC event, I hereby waive confidentiality and authorize Dirty Water Events, LLC to disclose the participation list to the local public health authorities for the purpose of contact tracing.

I attest that:

  • I am not experiencing any symptom of illness, including, but not limited to: cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell.

  • I do not believe I have been exposed to someone with a suspected and/or confirmed case of COVID-19.

  • I have not been diagnosed with COVID-19 by state or local public health authorities within the previous ten (10) days.

  • I am following all CDC recommended guidelines and the Executive Orders of the Governor of Massachusetts regarding limits and procedures regarding COVID- 19 as much as possible, including limiting any purposeful exposure to COVID- 19.

  • I agree that the Governor’s Executive Orders are incorporated herein by reference and made a part hereof as if more fully set out herein.

  • I hereby release and agree to hold Dirty Water Events, LLC, its members, event directors, and volunteers harmless from any causes of action, claims, demands, damages, costs, expenses, and compensation for damage to myself that may be caused by any act, or failure to act, or that may otherwise arise in any way while I am participating in Dirty Water Events, LLC dance activities.

  • I fully understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to my participation as described above.

  • I attest that the proof of COVID-19 vaccination and/or COVID-19 test results I provide as a condition of my participation has not been falsified in any way whatsoever.

  • I attest that unauthorized use of an official government agency seal can be punished with a fine or up to five (5) years in prison.