ODA COVID Waiver Form 2021-2022
This form is required for each student who attends One Day Academy in-person classes.
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Email *
Parent First Name *
Parent Last Name *
Parent Phone Number *
Student First Name *
Student Last Name *
Campus (check all campuses your student attends) *
Required
I, on behalf of my self and any minor child/children for whom I have the capacity to contract, hereby acknowledge and agree to the following:
1.  I understand the symptoms of COVID-19 and that it affects people in different ways.  Symptoms may appear 2-14 days after exposure to the virus.  Symptoms may include: fever or chills, shortness of breath or difficulty breathing,  muscle or body aches, loss of taste or smell, congestion or runny nose, diarrhea, cough, fatigue, headache, sore throat, nausea or vomiting. *
Required
2. I agree not to send my student to ODA if he/she has a temperature at or above 100 degrees Fahrenheit.  If there is a question about temperature, I will play it safe and stay at home. *
Required
3.  I understand the symptoms listed in #1, and affirm that I, as well as all household members, will not attend One Day Academy if we experience any of the symptoms listed above.  We will also notify the Regional Director and my child's teachers if we do exhibit such symptoms, and we will stay at home.  If my child is exposed or tests positive for COVID-19, I will immediately inform the Regional Director and my child's teachers, and stay home until the possibility of exposing others is past. *
Required
4.  I and my student understand the risks associated with COVID-19, and I assume the responsibility to allow my student to participate on campus. *
Required
5.  I and my student agree to do our part and follow the ODA COVID protocols. *
Required
Understanding the risk and responsibility of agreeing to these guidelines, I hereby release ODA and the host church from any and all responsibility, and I agree to release, indemnify and hold harmless ODA and the host church for any COVID-19 exposure or illness which may occur by attending campus.  I acknowledge that ODA's COVID-19 policies are intended to mitigate, not eliminate, risk.  I agree that it is my responsibility to update this waiver if necessary. *
Required
Parent Signature: By typing your FULL name, you are signing this document electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this document. By typing your name using any device, means, or action, you consent to the legally binding terms and conditions of this document. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and One Day Academy. You are also confirming that you are the parent authorized to sign this document. The data will be time-stamped when signed. *
Student Signature: By typing your FULL name, you are signing this document electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this document. By typing your name using any device, means, or action, you consent to the legally binding terms and conditions of this document. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and One Day Academy. You are also confirming that you are the parent authorized to sign this document. The data will be time-stamped when signed. *
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