Covid-19 Waiver

May 25, 2022 05:58 AM


I understand and agree that even with social distancing and sanitization protocols, there is a possibility of contracting the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) virus which can lead to the COVID-19 (coronavirus disease) while attending Westland Dance Co. Ltd. I voluntarily agree, therefore, to assume all risks and responsibility of contracting the SARS-CoV-2 virus, which me or my child may contract during any of Westland Dance Co. Ltd classes, rehearsals, performances, or activities. I also exempt and release, Westland Dance Co. Ltd and its owners, employees, contract workers, assistants, volunteers, guest artists, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with SARS-CoV-2 and COVID-19.

I agree and give full consent to active symptom screenings for my child which may include a temperature check. I understand and agree that I will not send my child to Westland Dance Co. Ltd if they are sick even if symptoms resemble a mild cold. Symptoms to look for include fever, cough, shortness of breath, sore throat, runny nose, nasal congestion, headache, and a general feeling of being unwell.

I understand and have made my child aware that they are to inform a Westland Dance Co. Ltd staff member immediately should any of the above-mentioned symptoms develop while at Westland Dance Co. Ltd., should this occur I understand my child will be isolated until they are picked up by a parent or guardian. I understand it is my responsibility to ensure my child is picked up immediately when notified.

I understand and agree that CMOH Order 05-2020 legally obligates individuals who have a fever, cough, shortness of breath, sore throat, runny nose (that is not related to a pre-existing illness or health condition) to be in isolation for 10 days from the start of symptoms or until symptoms resolve, whichever takes longer.

I have alerted Westland Dance Co. Ltd of any and all medical conditions and allergies of my child. I understand it is especially important to alert Westland Dance Co. Ltd of any health conditions my child has which may cause similar symptoms of SARS-CoV-2 and/or COVID-19. These health conditions and symptoms include but are not limited to a cough and/or shortness of breath due to asthma or exercise induced asthma, and/or a sore throat, runny nose and/or nasal congestion due to severe seasonal allergies.
If I am signing this waiver for my child or children, I certify that I am the parent or legal guardian and have the right to waive these rights.