COVID WAIVER | Elite DanceWerks LLC

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ELITE DANCEWERKS

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Covid-19 Health Declaration + Waiver

Must be completed prior to booking

First Name

Last Name

Email

I agree to wear a mask in the lobby of the studio and common areas like the restroom

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

I understand that wearing a mask during class is suggested, but not mandatory

Initials

Date

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

I understand that Charlotte Dance Alliance nor Cassandra Springs, Elite DanceWerks LLC., cannot be held liable for any exposure to the COVID-19 virus

Thanks for submitting!

7049628003

©2019 by Elite DanceWerks LLC.

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