Onsite Waiver form


AGREEMENT TO RELEASE THE ALLIANCE FRANCAISE DE SAN FRANCISCO (“THE ALLIANCE”), ITS EMPLOYEES, BOARD MEMBERS, OFFICERS, VOLUNTEERS AND AFFILIATES FROM LIABILITY RELATED TO COVID-19 AND/OR OTHER CONTAGIOUS DISEASES 


To: Participants, students, potential students and members of the public at large entering the premises

What: This is an agreement to release claims against the Alliance for liability related to contagious disease such as COVID-19. 

Why: As a non-profit, the Alliance is obligated to carefully balance its core mission, its obligations to the public and its duty to maintain financial integrity for current and future membership. While the Alliance is committed to providing a safe environment for everyone, the full impact of COVID-19 is unknown. Re-opening inevitably involves some risk for all of us, and we cannot guarantee that opening our doors to the public, however cautiously done, will protect everyone from the threat of infection. To reduce financial losses stemming from such risk, the Alliance has decided to require liability waivers as a condition of participating in our in-person activities

Student First Name
Student Last Name
Parent First Name (for minors)
Parent Last Name (for minors)
Email


On-site Exams and Events: 

  • Full and up-to-date vaccination is required for in-person events starting Monday, October 18th, 2021. As of February 1, 2022, full and up-to-date vaccination definition is 2 doses + booster for Moderna and Pfizer or 1 dose + booster for Johnson and Johnson. 
  • Proof of full and up-to-date vaccination of an approved COVID vaccine will need to be shown to an AFSF Staff member before entering the building :  California Digital COVID-19 Vaccine Record; an original, digital photograph, or photocopy of CDC vaccination cards (both sides); or an official vaccine record issued by another state, foreign nation, or the World Health Organization.
  • Anyone unvaccinated must present a negative COVID-19 test within 72 hours for each separate access to the premises from a clinic or pharmacy. Home tests will not be accepted
  • Please respect all sanitary precautions and stay home if you have symptoms or may have been in contact with a person who has been confirmed to have or who is suspected of having the disease, even if you are vaccinated as you may still carry and transmit the virus.

A list of COVID-19 symptoms is available online at :

www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

Onsite Date When you plan to come onsite
Choose one:
WAIVER AGREEMENTPlease check that you agree for each paragraph
BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE ALLIANCE.
Sign Here
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Contact Us

Alliance Française de San Francisco
1345 Bush Street
San Francisco, CA 94109
Tel: +1 (415) 775-7755
E-mail: afsf@afsf.com

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Alliance Française de San Francisco is an American Public Charity Nonprofit, tax-exempt under section 501(c)(3) of the Internal Revenue Code.

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