COVID-19 Waiver Form (Family)

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to be mainly spread by in-person contact. As a result, federal, provincial, and local governments and provincial and state agencies recommend social distance measures, and have, in many locations prohibited the congregations of large groups of people. Society for Talent Education (STE) has put in place actions and preventative measures to reduce the spread of COVID-19; however, STE cannot guarantee that those who enter the premises will not be infected with COVID-19. Attending in-person lessons could increase the risk of contracting COVID-19 for all in attendance. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntary assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending in-person lessons at the St. Gabriel School location and teachers’ private studios, and that such exposure or infection may result in personal injury, illness, permanent disability or death. I understand that the risk of becoming exposed to or infected by COVID-19 at the St. Gabriel School location and teachers’ private studios may result from the actions, omissions, or negligence of myself and others, including but not limited to, STE staff, teachers, volunteers, program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability and death), illness, damage, loss, claim, liability or expense of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at the St. Gabriel School location and teachers’ private studios or participation in any activities associated with STE. On behalf of my children and myself, I hereby release, covenant not to sue, discharge and hold harmless, STE, its Board, staff and teachers, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of STE, and its Board, staff, teachers, agents or representatives, whether a COVID-19 infection occurs, before, during, or after participation in any program.
Electronic Signature * By signing, I acknowledge that I have read and agree to all the above terms on behalf of all my children, aged under 18 of whom I am a legal parent/guardian, and myself. I affirm that all the information below is correct.
First Parent/Guardian Name * First Last
By my signature, I acknowledge that I have read and agree to all the above terms on my own behalf and that of all listed minor children (under 18) of whom I am legal parent/guardian. I affirm that all the information below is correct.
Second Parent/Guardian Name First Last
Child #1 Name * First Last
Child #1 Date of Birth * / MM / DD YYYY
Child #2 Name First Last
Child #2 Date of Birth / MM / DD YYYY
Child #3 Name First Last
Child #3 Date of Birth / MM / DD YYYY
Child #4 Name First Last
Child #4 Date of Birth / MM / DD YYYY
Dated * / MM / DD YYYY