COVID-19 Release Waiver
Dancer Name
First Name
Last Name
My dancer has been symptom and fever free (without Tylenol, Motrin, or Advil) for 24 hours
To the best of my knowledge, my dancer has not been directly exposed to a positive COVID-19 patient
I will notify PAE if my dancer tests positive for COVID-19 (personal information will be kept confidential as we alert dancers that have been exposed)
I understand PAE is doing everything possible to protect dancers and release the studio owners and staff from liability if my dancer contracts COVID-19
I will cheerfully follow all safety protocols put in place by PAE to protect dancers
Parent Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
I would like my dancer to wear their mask for Recital:
Yes
No
Submit
Should be Empty: