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Novel Coronavirus Acknowledgement & Assumption of Risk

Holy Family Catholic High School

I acknowledge and understand, the novel coronavirus, COVID-19 has been declared a worldwide pandemic by the World Health Organization. Further, that COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. I also acknowledge, that federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people.

I agree, represent and warrant that neither the undersigned, nor any registered participant child(ren)  shall visit or utilize the facilities, programs, activities, or services of Holy Family Catholic High School (“Holy Family”) within 14 days after (1) returning from outside the United States, (2) exposure to any person returning from outside the United States, or (3) exposure to any person who has a suspected or confirmed case of COVID-19.  I acknowledge that the current guidance establishes this 14 day period and agree that if this 14 day period is extended by governmental authorities or on the advice of health professionals, I will comply with the extended period.

I hereby agree, represent and warrant that neither the undersigned nor any registered participant child(ren) shall visit or utilize the facilities, programs, activities, or services of Holy Family if he or she (1) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (2) has suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify Holy Family immediately if any of the foregoing access or use restrictions may apply.

Holy Family has put in place preventative measures to reduce the spread of COVID-19.  I agree to comply with measures that Holy Family may require to best protect against the introduction of viruses at Holy Family, including, but not limited to, hygiene practices and temperature screening, related to myself and/or my child(ren).  Holy Family cannot guarantee that my child(ren) will not become infected with COVID-19. I understand and agree that attending Holy Family could increase my risk and my child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and my child(ren) may be exposed to or infected by COVID-19 by attending school at Holy Family, participating in Holy Family programs, volunteering at Holy Family, or simply being physically present at Holy Family 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 at Holy Family may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Holy Family employees, volunteers, agents, contractors, visitors and program participants and their families.


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