ANN KEFFALOS - DBA: KEYS WITH KEFF
COVID WAIVER
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 spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Keys with Keff studio has put in place preventative measures to reduce the spread of COVID-19; however, the studio cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending your lesson at the studio could increase your risk and your child(ren)’s risk of contracting COVID-19.
By signing this agreement, 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 by attending lessons at the home of Ann Keffalos (DBA Keys with Keff) and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the home of Ann Keffalos (DBA Keys with Keff) may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Keffalos family members and other students. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for an 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 my home (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Ann Keffalos and her family, of and from the Claim, 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 Ann Keffalos or her family, whether a COVID-19 infection occurs before, during, or after attendance of lessons at the home of Ann Keffalos.
Student Names * (First and Last)
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Parent Signature* By signing or typing your name below, you are signing this Agreement. You agree your signature is the legal equivalent of your manual signature on this Agreement.
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