Covid-19 & Flu Waiver – Tetrad Opus

COVID & FLU WAIVER

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

Name *

First

Last

Phone Number *

Email *

The novel coronavirus, and the disease caused by it, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. *

Sign your name here if you understand.

Tetrad Opus Photography Services has put in place preventative measures to reduce the spread of COVID-19; however, TOP Services cannot guarantee that you or your party members or child(ren) will not become infected with COVID-19. Further, conducting a Photo Session with TOP Services could increase your risk and your party and child(ren)’s risk of contracting COVID-19. *

Sign your name here if you understand and accept responsibility.

I confirm that I am not presenting any of the following symptoms of COVID-19 listed here: Fever, Shortness of Breath, Loss of Sense of Taste or Smell, Dry Cough, Runny Nose, Sore Throat *

Sign your name here if you are NOT currently sick or displaying symptoms. If you are experiencing symptoms please indicate which ones and if you have been tested.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that ME and my child(ren) and remaining party members and I may be exposed to or infected by COVID-19 by conducting Photo Sessions 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 through TOP Services may result from the actions, omissions, or negligence of myself and others, including, but not limited to, TOP Services employees, volunteers, and program participants and their families. *

Sign your name here if you understand and accept responsibility.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my party, child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my party or child(ren) may experience or incur in connection with my choice to conduct a Photo Session. On my behalf, and on behalf of my party and children, I hereby release, covenant not to sue, discharge, and hold harmless Tetrad Opus Photography Services, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of TOP Services, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any TOP Services Photo Shoot. *

Sign your name here if you understand and accept responsibility.