2024 Beacons COVID-19 Waiver and Release of Liability & Assumption of Risk
Dear Participant, Trainee, and/or Parent or Conservator:

Because COVID-19 continues to be a part of our daily lives, we ask that all individuals who participant in Beacons activities complete this Waiver and Release form, and agree to observe basic safety measures to reduce risk and absences.

Please understand that participants may not attend or come to Beacons if they are feeling sick or have any of the below symptoms:

1. Fever or chills
2. Cough
3. Runny Nose or congestion
4. Difficulties Breathing or shortness of breatha
5. Muscle or body aches
6. Headache
7. Nausea or vomiting
8. Diarrhea

Compliance with our safety protocols is required In order to participate in our Beacons workshops.  Individuals who are not able to follow the protocols while onsite will not be able to continue in the onsite workshop and will be asked to leave and return home.

IS PARTICIPANT CONSERVED or A MINOR?

YES
If a participant is conserved or a minor, this form must be completed by the individual legally responsible for making decisions about legal and contract matters for the participant (e.g. Parent).

NO
If a participant is not conserved, this form must be completed by them. It is recommended that the participant complete this form with the assistance of a parent or other trusted person to make sure the form is completed correctly and to answer any questions during the process.

We apologize if this requirement causes any problems or concerns, but we hope to keep everyone safe and do our part in reducing the spread of Covid-19 and its variants, as well as in reducing the need for staff or trainees to remain at home because of illness or exposure.

Thank you for completing this form prior to the start of workshops! Please bring a copy of the signature page on the first day of a workshop. THIS FORM ONLY NEEDS TO BE COMPLETED ONCE and does not need to be completed for each workshop.

Beacons, Inc.
2245 Camino Vida Roble Suite 100
Carlsbad, CA 92011
www.BeaconsNorthCounty.com

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Email *
NAME (first and last) of Applicant and/or Trainee *
PERSON COMPLETING THIS FORM. If participant is conserved or a minor, this form must be completed by the conservator or parent. If not conserved, must be completed by the participant. *
IS PARTICIPANT A MINOR OR CONSERVED? (If not sure, please ask a parent) *
Email address of person completing this form: *
Telephone number of person completing this form:
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