Loading...

This agreement is no longer required as its contents have been merged into our primary liability waiver.

Versatile Arts COVID-19 Agreement and Assumption of Risk

The  Versatile Arts COVID-19 Agreement is between Versatile Arts LLC (“Versatile Arts”)  and (participant) and their parent(s)/legal guardian(s) and their family.  Each time you are coming into Versatile Arts you agree to the following:

To the best of my knowledge, I or my child:

Have not shown symptoms of COVID-19 in the past 14 days. According to the Center for the Disease Control, below are symptoms:

  • Cough
  • Shortness of breath or difficulty breathing
  • Fever
  • Chills and/or repeated shaking with chills
  • Muscle pain
  • Headache
  • Sore throat
  • New loss of taste or smell
  • Gastrointestinal symptoms such as nausea, vomiting, or diarrhea


 

Have not been in contact with anyone who has tested positive for COVID-19 or shown any of the above symptoms in the past 14 days.


 

Have worn a protective mask when in public situations where social distancing is not consistently possible and have followed recommended hand hygiene practices.


 

Understand that I could be a carrier of COVID-19 and be asymptomatic. 


 

Understand that I could contract COVID-19 from an asymptomatic person at our facility or a contaminated surface.


 

Am fully aware of the facility's safety procedures to prevent the spread of COVID-19 and will follow these procedures.


 

Agree to inform the studio/school immediately if I have developed symptoms within a two week period of being in the studio, or if I have learned that I have been in direct contact with someone who has later tested positive for the coronavirus within the same two week period.


 

Understand that if I willfully and intentionally violate the stated hygiene rules in our facility, the studio has the right to suspend me without a refund. 


 

Understand that this policy may be updated at any time, and I may be asked to sign or agree to changes at any time in order to continue my use of Versatile Arts classes or facilities.


 

Agree to inform the studio/school IMMEDIATELY if any of the above information changes or I obtain new information.


 

I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION AND I AGREE NOT TO HOLD VERSATILE ARTS OR ANY OF ITS EMPLOYEES LIABLE IF I OR A FAMILY MEMBER CONTRACT COVID-19 DURING THE TIME I AM ATTENDING OR MAKING USE OF VERSATILE ARTS FACILITIES.

December 21, 2024

 

 

 

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!