Please verify that you have read and understand the terms of this application.

Precautionary Coronavirus Liability Release Form

Due to the outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each volunteer, guest, staff member, health history review, as well as sanitation and disinfecting practices.

Symptoms of COVID-19 may include: Fever, Fatigue, Dry cough, Difficulty breathing

I agree to the following:

• I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.
• I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the last 14 days.
• I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID 19 within the last 14 days.
• I affirm that I, as well as all household members, have not traveled outside of the country, or to any city that is or has been considered a "hot spot" for COVID-19 infections within the last 14 days.
• I understand that Oceanside Museum of Art, staff personnel, guests, and other volunteers cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each individual.

Oceanside Museum of Art and all employees of this facility agree that they abide by these same standards and affirm the same. They also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions and by dating and submitting below, you agree to follow the safety guidelines and protocols implemented to continue the safety of all.