COVID WAIVER FORM

Click here to download the COVID WAIVER FORM

(If you are having problems downloading, see the text below for your convenience. We’ll have copies for you to sign at rehearsal.)

PLEASE SIGN & HAND IN

Assumption of Risk and Waiver of Liability 

COVID-19 spreads when an infected person breathes out droplets and very small particles that contain the virus. These droplets and particles can be breathed in by other people or land in their eyes, nose, or mouth. The risk of COVID-19 transmission increases when people gather with other households. 

The novel coronavirus, 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. 

Rock Voices has put in place preventive measures to reduce the spread of COVID-19; however, I understand that you cannot guarantee that I will not become infected with COVID-19. Further, attending in-person rehearsals could increase my risk of contracting COVID-19. 

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participating in Rock Voices events, 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 may result from the actions, omissions, or negligence of myself and others. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to me (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at Rock Voices event, whether a COVID-19 infection occurs before, during, or after participation in said event.

I hereby release and hold harmless Rock Voices, 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. 

Print Name: __________________________________________________ 

Signature:  ___________________________________________________ 

Date: ________________________________________________________

Phone:_______________________________________________________

Email: _______________________________________________________

Date of last COVID vaccination: __________________________________