I hereby assume all of the risks of participating in any/all activities associated with Eclipse Pole Fitness & Dance and Eclipse Wellbeing Centre including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the business owner/s, event holders, sponsors, and organisers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I waive, release, and discharge from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, the following entities or persons: Eclipse Pole Fitness & Dance and Eclipse Wellbeing Centre: Kylie Rachel McKinnon, Eclipse Pole Fitness & Dance, Eclipse Wellbeing Centre and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;
(B) Indemnify, hold harmless, and promise not to sue the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that they are not responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I certify that I have read this document and I fully understand its content. I am aware that this is a release of liability and a contract and I sign it of my own free will.
As an employee, contractor, volunteer, parent or guardian, I am responsible for promoting the safety and wellbeing of children and young people under the age of 18 years of Eclipse Lyra Pole Fitness & Dance.
All paid and unpaid instructors, guest instructors, and parents and guardians are expected to act in accordance with this Code of Conduct in their physical and online interactions with children and young people under the age of 18 years at Eclipse Lyra Pole Fitness & Dance.
I will:
• Act in accordance with the organisation’s child safety and wellbeing policies and procedures at all times.
• Behave respectfully, courteously and ethically towards children and their families and towards other staff.
• Listen and respond to the views and concerns of children, particularly if they communicate (verbally or non-verbally) that they do not feel safe or well.
• Promote the human rights, safety and wellbeing of all children in [the organisation].
• Demonstrate appropriate personal and professional boundaries.
• Consider and respect the diverse backgrounds and needs of children.
• Create an environment that promotes and enables children’s participation and is welcoming, culturally safe and inclusive for all children and their families.
• Involve children in making decisions about activities, policies and processes that concern them wherever possible.
• Contribute, where appropriate, to [the organisation’s] policies, discussions, learning and reviews about child safety and wellbeing.
• Identify and mitigate risks to children’s safety and wellbeing as required by [the organisation’s] risk assessment and management policy or process.
• Respond to any concerns or complaints of child harm or abuse promptly and in line with [the organisation’s] policy and procedure for receiving and responding to complaints.
• Report all suspected or disclosed child harm or abuse as required by [relevant legislation] and by [the organisation’s] policy and procedure on internal and external reporting.
• Comply with [the organisation’s] protocols on communicating with children.
• Comply with [relevant legislation] and [the organisation’s] policies and procedures on record keeping and information sharing.
I will NOT:
• Engage in any unlawful activity with or in relation to a child.
• Engage in any activity that is likely to physically, sexually or emotionally harm a child.
• Unlawfully discriminate against any child or their family members.
• Be alone with a child unnecessarily.
• Arrange personal contact, including online contact, with children I am working with for a purpose unrelated to [the organisation’s] activities.
• Disclose personal or sensitive information about a child, including images of a child, unless the child and their parent or legal guardian consent or unless I am required to do so by [the organisation’s] policy and procedure on reporting.
• Use inappropriate language in the presence of children, or show or provide children with access to inappropriate images or material.
• Work with children while under the influence of alcohol or prohibited drugs.
• Ignore or disregard any suspected or disclosed child harm or abuse.
If I think this Code of Conduct has been breached by another person in Eclipse Lyra Pole Fitness & Dance
I will:
• Promptly report any concerns to the manager and studio owner of Eclipse Lyra Pole Fitness & Dance
• Take actions promptly to ensure that children are safe.
• Act to prioritise the best interests of children.
• Follow Eclipse Lyra Pole Fitness & Dance policies and procedures for receiving and responding to complaints and concerns.
• Comply with Eclipse Lyra Pole Fitness & Dance policy and procedure on internal and external reporting.
I agree to abide by this Code of Conduct during my time as an employee, contractor, volunteer, parent or guardian with Eclipse Lyra Pole Fitness & Dance.
