hereby certify that my child ___________________________________________________(child’s full name), has permission to return to the Greater Westchester Youth Orchestras Association to participate in all rehearsal activities as determined and permitted by the orchestras. *
Your answer
1.) I agree to monitor my child’s health each day and keep my child home if he/she has a fever at or above 100.0 degrees, cough, fatigue, and/or other physical symptoms that require observation, health isolation, or medical treatment. *
2.) I understand that GWYOA will take my child’s temperature before entering the rehearsal site. If my child has a fever of 100.0 or above, he or she will be isolated, parent/legal guardian will be contacted and the child must be picked up by a parent or legal guardian within one hour. *
3.) If my child is sent home from school or from GWYOA rehearsal, he or she cannot attend orchestra rehearsal for 2 weeks from that date. Alternatively, earlier return will be allowed with a physician’s release note. *
4.) I understand that my child may not attend rehearsal if their school is closed due to COVID exposure, and may only return to in-person rehearsals once their school reopens. *
5.) I agree to accept the management and control measures taken by the orchestras in accordance with relevant regulations to reduce the spread of COVID-19. *
6.) I understand that these are risk-management measures and that GWYOA cannot guarantee safety for all musicians or prevent them from contracting any illness. *
7.) It is understood that parents may not enter the building or rehearsal site but must drop-off and pick up musicians outside St Gregory. *
8.) We certify that we have not been on a plane for the past 14 days, and no one in the residence has tested positive for COVID-19. *
9.) I understand that as long as GWYOA is permitted to remain open for rehearsals, my family’s tuition obligation remains unconditional whether or not my child is able to attend rehearsals due to my child’s health. *
Untitled Title
By voluntarily enrolling my child(ren) in the Greater Westchester Youth Orchestras Association, I acknowledge and agree that I am assuming the risk of my child(ren) or myself possibly contracting COVID-19. Further, I acknowledge and agree that on my behalf and on behalf of my child(ren) I am voluntarily waiving any claim of liability against the Greater Westchester Youth Orchestras Association should my child(ren) or I contract COVID-19 as a result of participating in rehearsals. Further, I expressly agree to hold the Greater Westchester Youth Orchestras Association harmless should I and/or my child(ren) contract COVID-19 as result of our voluntary participation in the Greater Westchester Youth Orchestras Association.
Digital Signature of Parent/Guardian: *
Your answer
Date: *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Greater Westchester Youth Orchestras Association. Report Abuse