COVID19 In-Home CPR and Choking Course Consent Form I, (insert first and last name below), knowingly and willingly consent to an in-home CPR and Choking Course with Infant Basics and Toddler Training during the COVID-19 pandemic. (first and last name) * I also understand that the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. I further understand that COVID-19 is extremely contagious and is believed to spread by person-to-person contact; and, as a result, federal and state health agencies recommend social distancing. I recognize that my consultant at Infant Basics and Toddler Training has put in place reasonable preventative measures aimed to reduce the spread of COVID-19. However, given the nature of the virus, I understand there is an inherent risk of becoming infected with COVID-19 by virtue of proceeding with the in-home CPR and Choking Course for myself and everyone who will be present during the in-home course, including my child. I hereby acknowledge and assume the risk of myself and others who will be present in my home for the CPR and Choking Course becoming infected with COVID-19 through this in-home CPR and Choking Course, and I give my express permission for my consultant at Infant Basics and Toddler Training to proceed with the same. (initial below) * I understand that possible exposure to COVID-19 before/during/after in-home CPR and Choking Course may result in the following to me, my child and anyone who will be present during the in-home CPR and Choking Course: a positive COVID-19 diagnosis, extended quarantine/self-isolation, additional tests, hospitalization that may require medical therapy, Intensive Care treatment, possible need for intubation/ventilator support, short-term or long-term intubation, other potential complications, and the risk of death. (initial below) * I understand that COVID-19 may cause additional risks, some or many of which may not currently be known at this time. (initial below) * By signing your first and last name below, you agree to the COVID 19 In-Home CPR and Choking Consent Form listed above. *Client/Guardian eSiganture Below* * Date * Email * SUBMIT Share this:TwitterFacebookLike this:Like Loading...
