COVID-19 Acknowledgement and Indemnity

COVID-19 Acknowledgement and Indemnity


I/We 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/We further acknowledge that STAT can not guarantee that a faculty/staff member or student will not become infected with the Coronavirus/Covid-19. I/We 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, board members, tutors, staff, students, and other family members. I/We voluntarily seek services provided by STAT and acknowledge that I/we am/are increasing my/our risk of exposure to the Coronavirus/COVID-19.


I/we hereby release and agree to hold STAT harmless from, and waive any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to anyone from my/our family who enters the STAT facilities or campuses that may be caused by any act, or failure to act by STAT personnel, or that may otherwise arise in any way in connection with any services received from STAT. I/we understand that this release discharges STAT from any liability or claim that I/we, my/our heirs, or any personal representatives may have against STAT 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 STAT. This liability waiver and release extends to STAT together with all board members, partners, and employees.

Agreement to Comply with COVID Protocols

I/We understand that I/we must comply with COVID protocols imposed by federal, state, and local authorities. I/We further acknowledge that Our Lady of the Fields (OLF) may also impose its own COVID protocols to which I/We must adhere.