I verify that my child,
is a client of Just Us Swim Kids LLC., for survival swim services.
I consent to prescribed survival swim services in my home setting and or at an agreed upon facility during the COVID-19 pandemic. I understand the risk that this is a community infection with the possibility of asymptomati transmission and will hold harmless and will not assert any claim for compensation against my survival swim instructor, Just Us Swim Kids LLC and or the facilities used if COVID-19 exposure occurs for any reason.
I will verify that no one in my household (including babysitters) is experiencing any of the following (diarrhea, vomiting, fever, cough, congestion) or has experienced any of these symptoms for the last 14 days of each date of service. I will verify that I have had no known exposure to any person who has been diagnosed with COVID-19 in the last 14 days for each date of service.
I will let my provider know PRIOR to arrival to my home or services provided at one of the agreed upon
locations if anyone in the household is experiencing any of the above symptoms or has had a known direct exposure to COVID-19 within the last 14 days.
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