Minor COVID-19 Liability Waiver

Parents or legal guardians sign alongside the minor to accept COVID-19 related risks and confirm current health status. Suited to clinics, programs and activities that serve young people.

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In the Claude connectors directory

Release terms

In consideration of my participation, the undersigned acknowledge and agree to the following:

I understand the risks associated with COVID-19 My participation is voluntary I release the organizers from liability I will follow the stated health measures

In line with the statements above, I declare the following:

I have no COVID-19 symptoms I have had no recent contact with a positive case I have not tested positive in the last 14 days I will report any symptoms right away

Participant and guardian details

Participant name

First Name

Last Name

Parent or legal guardian name

First Name

Last Name

Participant phone number

Parent or legal guardian phone number

Participant signature

Sign here

Date signed

Parent or legal guardian signature

Sign here

Guardian date signed

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