COVID Waiver

PLEASE NOTE: You must submit this waiver before your child(ren) attend(s) Maplewood Outside School.

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Maplewood Outside School LLC (MOS) has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I acknowledge that I have had a chance to review and understand these measures, and I understand that MOS will not be practicing social distancing within assigned small groups. I acknowledge that MOS cannot guarantee my child(ren) will not become infected with the Coronavirus/COVID-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the policies, actions, omissions, or negligence of myself and others, including, but not limited to, teaching staff and other students and their families.

I voluntarily seek services provided by MOS and acknowledge that I am increasing the risk of exposure to the Coronavirus/COVID-19 for myself and my child(ren). I acknowledge that my child(ren) and I must comply with all set procedures to reduce the spread while attending the program.

I attest that:

  • My child(ren) is/are not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of sense of taste or smell.

  • Neither my child(ren) nor I have traveled internationally within the last ten (10) days.

  • Neither my child(ren) nor I have traveled to a highly impacted area within the United Stated of America within the last ten (10) days.

  • Neither my child(ren) nor I believe we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

  • Neither my child(ren) nor I have been diagnosed with the Coronavirus/COVID-19 and not yet cleared as noncontagious by state or local public health authorities.

  • I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

  • I have reviewed MOS’s Operating Plan as well as MOS’s Modifications and agree to comply with all terms contained therein.

I hereby release and agree to hold MOS harmless from and waive on behalf of myself, my child(ren), our heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the program, or that may otherwise arise in any way in connection with any services received from MOS. I understand that this release discharges MOS from any liability or claim that I, my child(ren), our heirs, or any personal representatives may have against the program with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from MOS. This liability waiver and release extends to the program together with all owners, partners, and employees.