COVID FORM

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COVID RELEASE FORM FOR ALL SITTERS AND CLIENTS
Covid-19 Liability Release Waiver for Sitters at the Shore and Clients

The Corona virus (Covid-19) a world wide pandemic and its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions that Sitters at the Shore, LLC adheres to comply.

In consideration of my participation in the foregoing, the undersigned acknowledge and agrees to the following: PLEASE INITIAL, SIGN ANDSDATE

_____I am aware of the existence of the risk on my physical appearance to the venue and my participation to the activity of the organization that may cause injury or illness such as , but not limited to influenza MRSA, or Covid-19 that may lead to paralysis or death.

_____I or a family member have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms / relating to COVID-19 or any communicable disease within the last 14 days.

____I, nor any family member of my household, traveled by sea or by air internationally within the past 30 days and If so monitory and or quarantining was complete.

____I, nor any family member of my household, were diagnosed or is infected with COVID-19 virus within the last 30 days.

Following the pronouncements above I hereby declare the following:

____I am fully and personally responsible for my own safety and actions while and during my participation and I recognize that I or a family member may be at risk of contracting COVID-19.

____With full knowledge of the risks involved. I hereby release, waive discharge Sitters at the Shore, LLC. It’s board officers, independent contractors, or affiliates from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 or any other illness or action, while participation an any activity while in, on, or around the location of sitting services that may lead to unintentional exposure or hard due to COVID-19.

By signing below, I acknowledge that I have read the foregoing liability Release Waiver and understand its contents; that I am at least 18 years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing it at my own
free act and deed with full intention to be bound by the same, and free from inducement or representation. This waiver will remain effective until laws and mandates relevant to Covid-19 are lifted.

Name:________________________Signature_______________________Date:_____________
Please print and give to sitter or E-mail to sittersattheshore@gmail.com