2022 - ConVergence - LIABILITY & COVID-19 RELEASE WAIVER

IEA (International Encaustic Artists) is committed to the health and well-being of our retreat and workshop participants. We are carefully following current California guidelines for safe social gatherings, including, but not limited to, increased cleaning, hand sanitization, social distancing, and the requirement of masks in indoor spaces.

As a participant at the ConVergence - Wax on the Water Retreat and workshops sponsored by IEA (International Encaustic Artists), please acknowledge and agree to the following:

Please acknowledge each statement by checking the box: *

I am aware that the IEA ConVergence Retreat and/or workshops are in a social setting, and exposure to COVID-19 is a risk for anyone attending. I am aware of the potential risk arising from my participation that may cause injury or illness, such as, but not limited to, COVID-19 or influenza. I will not participate in this workshop if I have experienced symptoms of fever, fatigue, difficulty breathing, dry cough, or if I am exhibiting any other symptoms related to COVID-19 or any communicable disease in the 14 days prior to this workshop. I will not participate in this workshop if I, or any member(s) of my household, have been diagnosed with the COVID-19 virus in the 14 days prior to this workshop. If you may have been exposed, please get tested for COVID-19. It is free and confidential for everyone in California. I agree to provide proof of vaccination for COVID-19 in order to attend the retreat and/or workshops. (Note: You will upload the proof on the registration form.)

LIABILITY RELEASE WAIVER

I agree to assume all risks, take full responsibility, and waive and release any claims against International Encaustic Artists' (IEA) representatives, whether Board Members or volunteers, (“the Releasees”), from any illness, personal injury, death, financial loss or damage to personal property associated with my participation in ConVergence Retreat and Workshops, even if caused by the negligence of the Releasees.

I agree that should I become ill or suffer a loss due to infection from COVID-19 contracted as a result of attending the IEA ConVergence Retreat and/or Workshops that IEA shall not be held to be at fault or liable in any way.

I acknowledge that I have been sufficiently informed of the risks involved in my participation in this workshop. I give my voluntary consent in signing this Liability Release Waiver. This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

By signing below, I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent.

By checking this box, I agree to all conditions listed on this form. *

Clear

Attendee name: *

Attendee email: *

Attendee phone: *

International Encaustic Artists
Admin@International-Encaustic-Artists.org