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Jewish Academy of Orlando Policy Acceptance Form

Please complete the form below. Required fields marked with an asterisk *

Acknowledgment and Acceptance of
Jewish Academy of Orlando Policies and Procedures, including
COVID-19 Policies and Procedures

 

FAMILY ACKNOWLEDGMENT:

This document should be agreed to by BOTH parents, if applicable.

Please read and answer each statement below.

1. I/We understand and agree that during this COVID-19 Public Health Emergency I will NOT be permitted to enter the facility beyond the designated drop-off and pick-up area. I understand that this procedure change is for the safety of all persons present in the facility and to limit to the extent possible everyone’s risk of exposure. I understand that it is my responsibility to inform any Emergency Contact persons of the information contained herein. *
Answer Required
2. I/We understand and agree that IF there is an emergency requiring me to enter the facility beyond the designated drop-off and pick-up area, I MUST wash my hands before entering, and may be asked to wear a mask. While in the facility I must practice social distancing and remain at least 6 feet from all other people, except for my own child. *
Answer Required
3. I/We understand and agree that to enter upon the facility premises my child must be free from COVID-19 symptoms. If, during the day, any of the following symptoms appear my child will be separated from the rest of the people in the center. I will be contacted, and my child MUST be picked up from the facility within 30 minutes of being notified. Symptoms include: High temperature/fever, (100.0° or above) Excessive or continual coughing, Shortness of breath or fatigue, Chills, excessive shaking, Congestion or runny nose, New loss of taste or smell, Sore throat, Muscle or body aches, Nausea or Vomiting, Diarrhea *
Answer Required
4. I/We understand and agree that my child’s temperature will be taken at drop-off and again after lunch every day while on the premises.*
Answer Required
5. I/We understand and agree that my child will be required to wash their hands using CDC recommended handwashing procedures throughout the day using warm running water and rubbing with soap for at least 20 seconds.*
Answer Required
6. I/We understand and agree that outside of work, in order to control my child’s exposure in the community, I will comply with any and all state, county or local stay-at-home orders, and will limit contact with others outside of work while following any recommendations from the CDC that reduces my child’s risk for exposure including wearing a mask when appropriate in public areas and remaining 6 feet from all other people to the best of my ability.*
Answer Required
7. My child and I will limit with whom we gather to only close family and friends who we trust are following CDC guidelines to the best of our ability until such time as it is determined by state and local health officials that the COVID-19 Public Health Emergency is over.*
Answer Required
8. I/We will immediately notify the Jewish Academy of Orlando administration if I become aware that any person with whom my child or I have had contact exhibits any of the symptoms listed in Number 3 above, is advised to self-isolate, quarantine, or has tested positive, or is presumed positive for COVID-19. Further, I will immediately notify JAO administration if anyone from my place of employment is presumed positive or tests positive for COVID-19,whether or not I have had direct contact with that person.*
Answer Required
9. I/We understand and agree that If a parent or family members travels by airplane, they will be asked to not drop-off or pick up for 10 days from their return. The child is ok to attend school as long as the parent and the child exhibit no symptoms. If a parent begins to exhibit symptoms, the child must isolate from campus for 14 days or until the parent has a negative COVID-19 test.*
Answer Required
10. I/We understand and agree if my child travels by airplane, they would be required to remain away from the JAO for 10 days upon their return and may only return if symptom-free after day 10.*
Answer Required
11. I/We understand and agree should a parent or family member travel to the designated hotspots per the CDC and Florida Department of Health websites, they will be required to not drop-off or pick up the child for 10 days from their return as long as they remain symptom-free. If the child travels with them, the child must also stay away from the JAO for 10 days from their return and may only return if symptom-free after day 10. The hotspots are defined as counties on the Florida Department of Health website in dark blue at as well as the states indicated in dark red on the CDC website on the “cases in the last 7 days” tab.*
Answer Required
12. I/We understand and acknowledge that while present in the facility each day my child will be in contact with children and other employees who are also at risk of community exposure. I understand that no list of restrictions, guidelines or practices will remove 100% of the risk of exposure to COVID-19, as the virus can be transmitted by persons who are asymptomatic and before some people show signs of infection. I understand and agree that I play a crucial role in keeping everyone in the facility safe and reducing the risk of exposure by following the practices outlined herein*
Answer Required
13. I/We understand and acknowledge that additional information regarding the JAO COVID-19 policies and procedures are posted on the JAO website and that such policies and procedures will be updated from time-to-time. I/We understand and agree to comply with such provisions, as so amended. *
Answer Required
14. I/We certify that I have read and understand Jewish Academy of Orlando’s policies and procedures included in the handbook, and that I/we have read, understand, and agree to comply with the provisions listed herein. I/We acknowledge that failure to act in accordance with the provisions listed herein, or with any other policy or procedure outlined by the Jewish Academy of Orlando will result in disciplinary action up to and including termination of services. I/We acknowledge that my child’s enrollment may be terminated if it is determined that my actions, or lack of action unnecessarily exposes another employee, child or their family member to COVID-19.*
Answer Required

Parent 1

Parent 2

By clicking accept I acknowledge I/We have read and agree to these policies and procedures*
Answer Required
Confirmation Email