Jul 03, 2022 12:01 PM
The coronavirus, COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing, wearing a face mask and have, in many locations, prohibited the congregation of groups of people.
Cheryl A. Sullivan's School of Dance, LLC (CASSOD) has put in place preventative measures to reduce the spread of COVID-19; however, CASSOD cannot guarantee that you or your child(ren) will not become infected with COVID-19.
By signing this agreement, I agree that I will not participate in or send my child to any CASSOD on-site events, including studio dance classes, summer dance camps, workshops, etc. if I/my child show any of the following symptoms of Covid-19. Symptoms may include, but are not limited to:
● Fever of 99.5 in the last 72 hours
● Persistent cough
● Difficulty breathing
● Muscle pain
● Sore throat
● Loss of taste or smell
By signing below I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19. I also acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing this Waiver as my own free act and deed with full intention to be bound by the same, and free from any representation.
This waiver will remain in effect until September 30, 2022.
PARENT/CAREGIVER/LEGAL GUARDIAN/PARTICIPANT SIGNATURE:
PRINT DANCER'S NAME:_________________________________________________________________
*Please return to studio or email the completed form to email@example.com