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SANTA CRUZ HOSTEL
Acknowledgement of COVID-19 Responsibilities & Release of Liability

Santa Cruz Hostel welcomes you! We have created operating standards for our hostels to help protect the safety and health of guests and staff during the COVID-19 pandemic.  

We require employees to not work if they show symptoms; we take temperatures at the start of shifts and they do not work if it is over 100.4 degrees. Employees wear masks, practice physical (6-feet) distancing, and follow CDC hygiene rules.  We have instituted strong housekeeping and cleaning standards in public areas, shared bathrooms and guest sleeping rooms.  

Guests have a responsibility to other guests and hostel employees to follow HI USA operating standards:

  • Wearing of masks in all areas outside of the guest room,
  • Adhering to physical (6 feet) distancing,
  • Allowing temperatures to be taken at check-in by a non-contact instrument and to not check in if temperature is over 100.4 degrees, and
  • Understanding the symptoms of COVID-19 as highlighted by the Centers for Disease Control and Prevention at https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html, and affirming they have not experienced symptoms in the last 14 days.  

Acknowledgement of Responsibility and Release of Liability

  • I acknowledge that Santa Cruz Hostel has created operating standards and requirements targeted at protecting my safety and health during my hostel stay.  
  • I acknowledge that I have a responsibility to follow the standards set and I will follow all instructions and posted notices for the wearing of masks and adhering to physical (6 feet) distancing. 
  • I affirm that I have not exhibited COVID-19 symptoms in the past 14 days. 
  • I agree to forever release and waive my right to bring suit against Santa Cruz Hostel and Hostelling International USA (legal name American Youth Hostels) and Hostelling International, their officers, directors, affiliates, subsidiaries, members, employees and/or agents (the released parties) in connection with exposure, infection, and/or spread of COVID-19 related to my visit or stay at the hostel.  I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence, and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen. 


​Date: June 13, 2021

First Guest's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
I am the parent or legal guardian of the minor named below staying with me at the hostel. I have the legal right to consent to and, by signing below, I hereby do consent to the application of the terms and conditions of this acknowledgement and release of liability to my minor child and I agree to indemnify and hold the released parties harmless from any and all claims, causes of action of whatsoever kind or nature filed by or on behalf of my minor child as a result of his or her stay at the hostel.
Parent or Guardian's Name

First Name*

Last Name*
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.


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