Dear Kidz Space Staff Memebrs:
 
Please review the following COVID assumtion of risk statement.  If you have any questions please call our office at 609-384-3881.
 
Thank you,
 
Kidz Space

COVID Assumption of Risk 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.

Kidz Space Enrichment Program has put in place preventative measures to reduce the spread of COVID-19; however, Kidz Space Enrichment Program cannot guarantee that you will not become infected with COVID-19. Further, working at Kidz Space Enrichment Program could increase your risk of contracting COVID-19.

By signing this waiver, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by working at Kidz Space Enrichment Program 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 Kidz Space Enrichment Program may result from the actions, omissions, or negligence of myself and others, including, but not limited to, center employees, program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with working at Kidz Space Enrichment Program (“Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Kidz Space Enrichment Program, its employees, agents, and representatives, 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 Kidz Space Enrichment Program, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after working at Kidz Space Enrichment Program.
 
I am 18 years old or older? *
Signature: *
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