TVDSA In-Person Event Screening Form and Liability Waiver
TVDSA is utilizing the Central District Health (CDH) and Center for Disease Control (CDC) guidelines to protect the public, as well as our members and volunteers, from the COVID-19 pandemic. Keep in mind, due to the nature of our membership and their elevated risk factors, some of our requirements may be more stringent than that offered by the CDC and CDH. Additionally, our updates will most likely lag the general guidance, however, TVDSA will make changes as new info is available in a deliberate and measured way.  We want to avoid the "waffling" effect that occurs when changes are made prematurely then have to be moved back again.

NOTE: Event Leads will be provided with kits containing PPE (personal protective equipment) and other supplies as well as a quick-read thermometer.  We request that you bring your own PPE if you are more comfortable with that.  If your mask is not compliant, you may be asked to use one provided for you.

To ensure we are in compliance, each individual over 18 participating in TVDSA events must fill out this form truthfully and to the best of their knowledge NO MORE THAN TWO DAYS PRIOR TO THE EVENT.

Please read and acknowledge each statement below by placing a check mark in the boxes and submitting the form at the end.

Thanks and we are glad to be able to see you all again!!

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Email *
Please select the TVDSA Social Group this waiver is for: *
Please enter the name of the TVDSA Event organizer that you RSVPed with: *
Please select the date of the TVDSA Event this waiver is for: *
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I confirm that I (and any child with me under the age of 18) will comply with the TVDSA COVID Protocols as described in documentation - https://idahodownsyndrome.org/2020/04/24/covid-19-updates/ *
Required
I consent to having my (and any child with me under the age of 18) temperature taken by the event organizer and understand that we will not be able to attend if anyone in my party has a temperature over 99.5 F. *
Required
I confirm that I (and any child with me under the age of 18) am not presenting any of these COVID-19 symptoms:  -- Fever (99.5 F or higher) -- Shortness of breath -- Cough -- Runny nose -- Sore throat -- New loss of smell or taste -- Diarrhea -- Vomiting *
Required
I confirm that I (and any child with me under the age of 18) have not been in contact within the past 14 days with a person who has been diagnosed with COVID-19.   *
Required
I confirm that I (and any child with me under the age of 18) am not currently waiting for a COVID-19 test result. *
Required
I understand that air travel significantly increases the risk of contracting and transmitting the COVID-19 virus, Therefore, I confirm that I (and any child with me under the age of 18) have not traveled on a commercial airline within the past 10 days. *
Required
I confirm that I (and any child with me under the age of 18) have not traveled outside of the US within the past 10 days. *
Required
I confirm that I (and any child with me under the age of 18) will notify TVDSA if anyone in my party that attended a TVDSA event tests positive for COVID-19 within 10 days following attending a TVDSA event. *
Required
Treasure Valley Down Syndrome Association (“TVDSA”) has put in place preventative measures to reduce the spread of COVID-19; however, TVDSA cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending TVDSA activities and/or events could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending TVDSA activities and/or 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 at TVDSA activities and/or events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, TVDSA board members, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my 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 child(ren) may experience or incur in connection with my or my child(ren)’s participation in TVDSA activities and/or events (“the Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless TVDSA, 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 TVDSA, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any TVDSA activity and/or event. *
Required
Please list the full names of all persons covered by this form (Anyone over 18 must fill out their own form) *
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