COVID-19 Liability Release Waiver

**Signature Required Prior to Every Scheduled Appointment**

  • Due to the current outbreak of COVID-19, Movement Studios LLC is taking extra precautions to ensure the health of every client by requiring a health history review and enhanced sanitation/disinfection procedures in accordance with professional industry and government guidance.

Symptoms of COVID-19 include:

  • Fever
  • Fatigue
  • Dry Cough
  • Difficulty Breathing
  • Muscle or Body Aches
  • Headache
  • New Loss of Taste or Smell
  • Sore Throat
  • Congestion or Runny Nose
  • Nausea or Vomiting
  • Diarrhea
I agree to the following*: *

Movement Studios LLC is following these enhanced procedures to prevent the spread of COVID-19:

    • All surfaces will be sprayed with disinfectant before and after each client, according to manufacturer’s directions
    • Prepayment for services available for contactless checkout
    • Additional time included between appointments to prevent client contact with each other
    • Guests accompanying those scheduled for services discouraged
    • Each client required to have temperature taken with a touchless thermometer upon arrival
    • Each client required to wash hands or use hand sanitizer upon arrival and before leaving
    • Your instructor will thoroughly clean hands before and after each session
    • Clients and instructors required to wear face masks and grip socks
    • For dance classes, all students are required to wear face masks and proper dance shoes (heels, ballet slippers, etc.)

By submitting this form, I agree to each statement above and release Nancy Latuja and Movement Studios LLC from any and all liability for the unintentional exposure or harm due to COVID-19.

Nancy Latuja and all independent contractors agree to abide by these standards and affirms the same.