• Parent Acknowledgment Form for Covid-19 School Procedures

  • Please read carefully the following information and sign as to your agreement and acknowledgment. 

    Coronavirus disease (COVID-19) is an infectious disease, which is extremely contagious and believed to be spread very quickly by person-to-person contact, and/or by contact with contaminated surfaces and objects, and possibly in air. In order to prevent the spread, health agencies highly recommend social distancing. 

    Regarding school activities: 

    Lowest risk: Students and instructors engage in only virtual classes, activities, and events.

    Medium risk: Small-sized classes, activities, and events. Groups of students remain the same, get in the class with the same instructor, and groups do not mix. 

    Highest risk: Full-sized classes, activities, and events. Students mix between classes and activities. 

    The school administration has taken the necessary precautions to prevent spreading COVID-19 by putting into action new procedures, protocols, and policies and purchased required protective safety equipment for the students, instructors, and officers. On the other hand, the school administration cannot guarantee that the students will not be exposed to COVID-19. Moreover, attending school increase the risk of contracting COVID-19 for the students.

    By signing this agreement and acknowledgment form, I, as a parent/guardian of the student, acknowledge the contagious nature of COVID-19 and voluntarily accept the risk that the student may be exposed to or infected by COVID-19 throughout the school activities, which may result in personal injury, illness, disability, or even death.  

    I understand that the student may be in contact with the instructors, offices, and/or the other students who are also at the risk of community exposure. I fully understand that any precaution is not 100% effective to prevent COVID-19 infection.

    I understand that I am responsible for the student to be free from any kind of COVID-19 symptom before participating in any school activities. These symptoms are as following:

    • Fever of 100.4 degrees Fahrenheit or higher
    • Dry cough
    • Shortness of breath
    • Chills
    • Loss of taste or smell
    • Sore throat
    • Muscle aches
    • Any other symptom identified by WHO

    I understand that I will immediately notify school management if I become aware of any person, whom the student or anyone in the family has had contact with or demonstrated any of the symptoms mentioned above, or is advised to self-isolate, or has tested positive, or is assumed to be COVID-19 positive. 

    By signing this form, I certify that I have read and understood the risk of COVID-19 infection that the student will be exposed to throughout the days at school. 

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