Employee COVID Waiver

PLEASE NOTE: You must submit this waiver before you attend 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”) put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that MOS cannot guarantee I 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 actions, omissions, or negligence of myself and others.

I certify that:

• I am not experiencing any symptom 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.

• I have not traveled internationally within the last fourteen (14) days.

• I have not traveled to a highly impacted area within the United States of America in the last fourteen (14) days.

• I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

• I have not been diagnosed with the Coronavirus/COVID-19 and not yet cleared as non-contagious 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 the guidelines set forth by MOS in the 2020-2021 Operating Plan and agree to adhere to all guidelines set forth therein.