COVID-19 Waiver

I understand that by filling out this form I have read and I am "signing" the COVID-19 waiver.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

Ann Peden Jewelry, dba Spark at Ann Peden (“Spark”) has put in place preventative measures to reduce the spread of COVID-19; however, Spark cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending classes at Spark could increase your risk and your child(ren)’s risk of contracting COVID-19.


 Question 1-Assumption of risk:

      By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Spark and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Spark may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Spark employees, volunteers, and program participants and their families.

      I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Spark or participation in Spark programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Spark, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Spark, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Spark program.

Question 2-Symptoms/Procedures :

Also by signing this form you are agreeing that your child and any other family member has not had any  COVID-19 symptoms, been in contact with anyone with COVID-19 or been to any high risk areas in the last 14 days.

I understand that I should remain in my vehicle and that my child's temperature will be taken each morning of camp. Any camper with a temperature higher than 100.4 degrees will not be allowed to remain at camp. I understand that no parents/non-campers are allowed in Spark to decrease the exposure to the area. 

Question 3-Masks:

Please let us know what your thoughts are about masks at camp. We just want to make sure that your child follows your wishes when it comes to wearing or not wearing a mask while at Spark.