In order to keep everyone safe and healthy, this form must be filled out before your child can attend Sugar Land Art Center. Also, please be advised that this is a very unpredictable situation, if a student/staff/parent tests positive for COVID-19 or the local authorities deem necessary, our center will be closed with short notice.
As per the Texas Department of State and Health Services:
In accordance with Governor Abbott’s executive order GA-18, on April 27, 2020 the following are the minimum recommended health protocols for all individuals in Texas. These minimum health protocols are not a limit on the health protocols that individuals may adopts. Individuals are encouraged to adopt additional protocols consistent with their specific needs/circumstances to help protect the health and safety of all.
I _______________________ parent/guardian of child/children ____________________ hereby certify that my child does not exhibit any of the following new or worsening signs or symptoms of possible COVID-19. I agree to inform the center immediately if my child exhibits any of these symptoms. Please check all that apply if you have any of the symptoms below:
_____ Shortness of breath or difficulty breathing
_____ Repeated shaking with chills
_____ Muscle pain
_____ Sore throat
_____ Loss of taste or smell
_____ Feeling feverish or a measured temperature greater than or equal to 100.0 F
_____ Known close contact with a person who is lab-confirmed to have COVID-19
_____ In the previous 14 days has traveled internationally to countries with widespread, sustained community transmission.
For updated information on affected countries, visit: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
Governor Greg Abbott today issued an Executive Order (GA-24) terminating air travel restrictions related to the COVID-19 pandemic. The Governor's new order immediately terminates all restrictions contained in the Governor's previous Executive Order (GA-20) that mandated temporary quarantines for air travelers arriving from the following areas of the United States: California; Connecticut; New York; New Jersey; Washington; Atlanta, Georgia; Chicago, Illinois; Detroit, Michigan; or Miami, Florida.
View the Governor's Executive Order (GA-24) relating to the termination of air travel restrictions as part of the safe, strategic plan to Open Texas in response to the COVID-19 disaster.
I hereby agree:
_____ I understand that it is my sole decision to send my child to Sugar Land Art Center knowing the unknown risk involved.
_____ I agree to abide by all the guidelines set forth by the CDC, Texas DSHS, Governor Abbot, and the center.
_____ I will keep my child home if they are sick, Sick includes, but is not limited to, temperature over 100°F, persistent cough, wheezing, colored mucus, diarrhea, vomiting or any other symptoms stated above. If my child becomes sick at the center, I will pick up my child immediately.
_____ If my child is sick, they will not be able to return to the center without a written release from a physician.
_____ If my child has been in close contact with someone diagnosed with COVID-19 but is not currently sick, I will immediately notify the center and my child will not come to the center for 14 days after the last day they were in contact with the person.
_____ Due to the unpredictable nature of COVID-19, I understand that Sugar Art Center, the Administration, staff, students, parents, or any individual affiliated with or in the center may be infected by this virus or maybe an asymptomatic carrier of the virus. In any and all cases, Sugar Land Art Center, Administration, Director, staff, students, parents, or any individual affiliated with the center shall not be personally or jointly held responsible for any financial or consequential damages.
______________________________________ _______________________________ Signature of Parent/Guardian Date