COVID-19 Waiver Form

All students participating in are required to complete and sign a COVID-19 waiver.

  • Date Format: MM slash DD slash YYYY
  • ClassStart Date 
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  • Please fill out if the student is a minor.
  • COVID-19 Consent and Release

    I, on my own behalf and/or on behalf of my son/daughter/minor child, hereby allow such Student for whom I am the legal guardian, to participate at an ArtFusion 19464 Art Class (hereinafter referred to as “Art Class”) sessions. In consideration of ArtFusion 19464 making this opportunity available to the Student, I hereby agree to release, indemnify and hold harmless ArtFusion 19464 (and their officers, employees, agents, volunteers, and Board Members), from and against any and all claims, demands, liabilities, losses or expenses, including attorney fees, and including injury to Student or other party, associated with Student’s participation in Art Class (including but not limited to those arising in connection with field trips, and any transportation to and from such field trips, the use of the School’s equipment or facilities, and those arising from any act or omission of third party due to student’s own conduct). By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that the student may be exposed to or infected by COVID-19 by participating at ArtFusion 19464 Art Class. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless ArtFusion 19464, and their officers, employees, agents, volunteers, and Board Members, of and from any Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to the COVID-19 disease. I further agree that is any part of this agreement is found by a court or other appropriate authority to be invalid, the remainder of the agreement nevertheless will appropriate authority to be invalid, and the remainder of the agreement nevertheless will remain in full force and effect. I further acknowledge that I have read and understand this Consent and Release, and voluntarily agree to be legally bound by its terms.

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