These are samples of the forms you will fill out at the physical campus.
COVID-19 WAIVER of LIABILITY FORM
The novel coronavirus, COVID-19 is extremely contagious and is believed to spread from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
New Horizons has put in place protective measures to reduce the spread of COVID-19; however, the New Horizons cannot guarantee that you will not become infected with COVID-19. Further, attending activities on the campus could increase your risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending activities on New Horizons campuses and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 while on New Horizons campuses may result from the actions, omissions, or negligence of myself and others, including, but not limited to, New Horizons employees, visitors, and program participants.
I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance in activities on New Horizons campuses. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless the New Horizons, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the New Horizons, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any New Horizon activity.
The safety of our employees, students, families, and visitors remains New Horizons’ priority. To prevent the spread of COVID-19 and reduce the potential risk of exposure to all parties, we are conducting a simple screening questionnaire with this waiver. Your participation is important to help us take precautionary measures to protect you and everyone on campus.
Please circle your answers.
1. Have you had close contact with or been diagnosed with COVID-19 within 30 days? YES NO
2. Have you experienced any of the symptoms below in the last 14 days? YES NO
(Fever, chills, cough, sore throat, respiratory illness, difficulty breathing, or loss of taste or smell)
** If the answer is “yes” to questions 1 or 2, access to campus will be denied.