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3N’s Vacation Services Enterprises and EMBRACE Resort, located in Staniel Cay Exumas, COVID-19 Screening Consent Form and Waiver.

This form provides 3N’s Vacation Services and EMBRACE Resort and its subsidiaries with your permission to perform a COVID-19 Rapid Antigen Test based on the Bahamas Government requirement to maintain a safe environment visitors, locals, employees, contractors, vendors, and other essential persons with whom you may come into contact. By signing below, you are indicating that you voluntarily consent to this procedure for the detection of COVID-19.

The test being administered involves a nasal swab that will be tested to indicate the potential presence of COVID-19. 

Because of the ongoing public-health crisis, it may be necessary for 3N's Vacation Services & EMBRACE Resort to share the results of your test with public health authorities. By signing below, you consent to the disclosure of such information as requested, recommended or required by local public health authorities.

By signing below, you agree to release and waive any claim arising from your selection to receive this screening, that may arise against 3N's Vacation Services and EMBRACE Resort and our designated medical providers and staff members.

Additionally, you agree to release and waive any claim that might arise against 3N's Vacation Services and EMBRACE Resort and its designated medical providers and staff members for any risks, side effects, or complications resulting from the testing. 

3N’s Vacation Services Enterprises and EMBRACE Resort, located in Staniel Cay Exumas, COVID-19 Screening Consent Form and Waiver.

 

 This form provides 3N’s Vacation Services and EMBRACE Resort and its subsidiaries with your permission to perform a COVID-19 Rapid Antigen Test based on the Bahamas Government requirement to maintain a safe environment visitors, locals, employees, contractors, vendors, and other essential persons with whom you may come into contact. By signing below, you are indicating that you voluntarily consent to this procedure for the detection of COVID-19.

The test being administered involves a nasal swab that will be tested to indicate the potential presence of COVID-19. 

First Client Name

First Name*

Last Name*

Phone*
First Client Date of Birth*
First Client Signature*
Second Client Name

First Name*

Last Name*
Second Client Date of Birth*
Third Client Name

First Name*

Last Name*
Third Client Date of Birth*
Fourth Client Name

First Name*

Last Name*
Fourth Client Date of Birth*
Fifth Client Name

First Name*

Last Name*
Fifth Client Date of Birth*
Sixth Client Name

First Name*

Last Name*
Sixth Client Date of Birth*
Seventh Client Name

First Name*

Last Name*
Seventh Client Date of Birth*
Eighth Client Name

First Name*

Last Name*
Eighth Client Date of Birth*
Ninth Client Name

First Name*

Last Name*
Ninth Client Date of Birth*
Tenth Client Name

First Name*

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

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 Date of Birth*
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.


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