Covid liability Waiver

As part of your class registration please complete the following waiver prior to attending class.

First Name

Last Name

Email Address

Date of Birth

COVID-19 Common Symptoms, as per WHO:

Fever
Dry Cough
Tiredness

I understand the aforementioned COVID-19 symptoms.

Yes

I affirm that neither I, nor any member of my household, currently has or has experienced the aforementioned symptoms within the past 14 days. Furthermore, I will immediately inform Urban Seductress LLC. and discontinue classes if I, or any member of my household, develops any of the aforementioned symptoms.

Yes

I declare that the info I’ve provided is accurate & complete

By checking this box & initialing below, I agree to each statement above and release Urban Seductress LLC. from any and all liability for the unintentional exposure or harm due to COVID-19. Urban Seductress LLC. agrees to abide by these standards and affirms the same.

Initials

Today's Date

Thanks for submitting!

Urban Seductress

Covid liability Waiver

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