I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
 

I further acknowledge that OLLI at UVA has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

 

I further acknowledge that OLLI at UVA cannot guarantee that I will not become infected with the Coronavirus/COVID-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other members and their families.

 

I voluntarily attend courses provided by OLLI at UVA and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my OLLI at UVA course. Current procedures: Members are required to wear masks indoors, remain at least six feet apart for in-person classes, and use hand sanitizer when entering the classroom


I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
I attest that:
* I have not traveled internationally within the last 14 days.
I attest that:
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
I attest that:
* I have not been diagnosed with Coronavirus/COVID-19 and not yet cleared as non contagious by state or local public health authorities.

Acknowledgement:

I understand that although OLLI at UVA holds the health and safety of its community as paramount, there is no guarantee that I will not be exposed to or infected with COVID-19. I acknowledge that my physical presence in the local community as well as participation and utilization of facilities, services, and programs at OLLI at UVA may carry certain risks, such as injury or illness including COVID-19 that cannot be eliminated regardless of the care and reasonable efforts taken to avoid and mitigate those risks. I also understand that I may be at higher risk for severe complications from COVID-19 if I have particular conditions identified by the CDC. I understand that I have the option to participate in OLLI at UVA activities remotely. Despite these risks, I chose to participate in-person in OLLI at UVA activities.

I hereby release and agree to hold OLLI at UVA harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of OLLI at UVA, or that may otherwise arise in any way in connection with any services received from OLLI at UVA. I understand that this release discharges OLLI at UVA from any liability or claim that I, my heirs, or any personal representatives may have against OLLI at UVA with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from OLLI at UVA. This liability waiver and release extends to OLLI at UVA together with all venues, volunteers, and employees.