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COVID-19 Liability Waiver
Andrew Parr Training Ltd.
Covid-19 Liability Waiver For In-Person Classroom Attendance
Acknowledgments:
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I acknowledge the contagious nature of the Coronavirus/COVID-19 and that Public Health England (PHE) and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Andrew Parr Training Ltd has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Andrew Parr Training Ltd cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others.
I voluntarily seek services provided by Andrew Parr Training Ltd and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending the class.
I Attest That:
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I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
I have not traveled internationally to a country requiring I quarantine on my return, within the last 14 days.
I have not traveled to a highly impacted area within the last 14 days.
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
I am following all PHE recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. I hereby release and agree to hold Andrew Parr Training Ltd harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the company, or that may otherwise arise in any way in connection with any services received from Andrew Parr Training Ltd. I understand that this release discharges Andrew Parr Training Ltd from any liability or claim that I, my heirs, or any personal representatives may have against the company with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Andrew Parr Training Ltd. This liability waiver and release extends to the company together with all owners, partners, and employees.
Consent
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I confirm that I have read, understood and agree that all information submitted is truthful and accurate.
Name
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First
Last
Email
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Date
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Date Format: MM slash DD slash YYYY