COVID-19 Release Form
All Evelyn Ott School of Dance families are REQUIRED to complete this release form prior to resuming dance classes.

COVID-19 affects different people in different ways. There is a wide range of symptoms reported – from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus and may include:
• Fever or chills
• Cough
• Shortness of breath or difficulty breathing
• Fatigue
• Muscle or body aches
• Headache
• Nausea or vomiting

Evelyn Ott School of Dance will adhere to the following enhanced procedures to prevent the spread of COVID-19

Our Instructors and Staff will…

• Clean/Disinfect frequently touched surfaces thoroughly before and in between all classes.
• Wash/Sanitize our hands before and after each class
• Maintain a safe distance at all times
• Accommodate a limited number of students in each class to ensure physical distancing.
• Dismiss all classes 5 minutes early as to allow time for cleaning/disinfecting surfaces and allow students to finish and leave the studio before the next set of students arrive.
• Provide sanitizers in the reception area and in all dance studios


We are requesting that our students and families please….

• Check their temperature before arrive to Evelyn Ott School of Dance
• Maintain a safe distance from others at all times
• Use the hand sanitizer before entering and while exiting the studio
• Carry their own bottle for water during class
• Keep items brought into the studio to a minimum

Email address *
Your Full Name *
Your Student(s) Name(s) *
Best Contact Phone Number *
BY CHECKING EACH BOX BELOW, YOU AGREE TO EACH STATEMENT AS A TERM OF USE OF EVELYN OTT SCHOOL OF DANCE SERVICES AND RELEASE EVELYN OTT SCHOOL OF DANCE FROM ANY AND ALL LIABILITY FOR THE UNINTENTIONAL EXPOSURE OR HARM DUE TO COVID-19.
BY TYPING IN YOUR FULL NAME BELOW, YOU AGREE TO EACH STATEMENT ABOVE AND RELEASE EVELYN OTT SCHOOL OF DANCE FROM ANY AND ALL LIABILITY FOR THE UNINTENTIONAL EXPOSURE OR HARM DUE TO COVID-19. EVELYN OTT SCHOOL OF DANCE AGREES TO ABIDE BY THESE STANDARDS AND AFFIRMS THE SAME.
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