Columbia Grammar & Preparatory School (“CGPS” or the “School”) has implemented a return-to-school plan to hold live, on-campus classes for the 2021-2022 school year. As an additional safety measure and in order to facilitate CGPS’ ability to offer in-person, on-campus learning, the School has partnered with a third-party provider to make available COVID-19 testing for CGPS students, which may be performed when parents are not physically present (the “COVID-19 Testing”) The undersigned am/are the Parent(s)/Legal Guardian(s) (the “Parents”) of the above-identified student (the “Student”) who will be participating in the COVID-19 Testing and agree to the terms and conditions below:

1. Voluntary Participation and Consent to Participate: Parents understand that the Student’s participation in the School-provided COVID-19 Testing is entirely voluntary. Parents acknowledge that students who test positive for COVID-19 will be referred to their health care provider. Parents further understand that such students will not be permitted to resume live, on-campus classes until such time as their healthcare provider so advises. Parents understand that the School is not acting as the Student’s healthcare provider and that the COVID-19 Testing offered by the School does not replace treatment by the Student’s healthcare provider.

2. Communication of Results: Results of the COVID-19 Testing will be made available to both the Parents and the School. The School may further disclose test results and associated information to appropriate county, state, or other governmental agencies, such as the Department of Health, and any other regulatory entities as may be required by law, rule or regulation.

3. Assumption of the Risk: Parents understand and agree that the School’s COVID-19 Testing is but one component of the measures it has implemented to mitigate the risk of the transmission of COVID-19 on campus. CGPS is not conducting the COVID-19 testing, but instead is only collecting the samples as provided by members of the School community, with testing to be conducted by the designated lab(s). CGPS makes no representations or warranties as to the accuracy of the testing provided, and Parents assume the risk that the testing provided may be faulty, and may result in either false positives or false negatives.

4. Waiver and Release of Liability: Parents release the School, its Trustees, employees and agents from all claims, liability and damages that Parents or Student may have for personal injuries, illnesses, medical expenses, or other loss resulting from Student’s participation in the COVID-19 Testing. Parents agree that this release includes personal injury, illness, medical expenses, or other losses caused by or resulting from negligence, active or passive, of the School, its Trustees, employees and agents; however the release does not apply to liability for gross negligence, willful injury, or fraud, and is not intended to release the School’s insurers, if any, or non-agent third parties of any responsibility for any claims that may otherwise be asserted.

5. Miscellaneous: The releases contained within this Authorization and Release from Liability are for the benefit of CGPS and are binding on the Parents. This Authorization and Release from Liability shall be governed by the laws of the State of New York. If any clause, sentence, paragraph or other provision of this Authorization and Release from Liability is, for whatever reason, deemed void, or otherwise unenforceable, then such language shall be severed and the rest of the Authorization and Release from Liability shall remain in full force and effect.

By signing this Authorization and Release from Liability, Parents acknowledge and represent that they have read the Authorization and Release from Liability, fully understand it and agree to its provisions, and sign it voluntarily as their own free act on behalf of themselves, and, if applicable, as the parent or legal guardian of the Student, on behalf of the Student. Each Parent should sign this Authorization and Release from Liability, however, it may be signed by a single parent or guardian who has the authority to enter such agreements on behalf of the Student and/or the consent of all other parents or guardians to do so. The submission of the Authorization and Release from Liability with the signature of a single Parent will constitute the representation of that Parent that they have the necessary authority and consent. No oral representations, statements, or inducements apart from the foregoing Authorization and Release from Liability that has been reduced to writing have been made and no modifications or alternations may be made to this form.